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Great Lakes Orthopedic Labs, Inc
Prosthetic/Orthotic Supplier in Buffalo, New York
NPI 1245318278

Great Lakes Orthopedic Labs, Inc is a Prosthetic/Orthotic Supplier based in Buffalo, NY. Great Lakes Orthopedic Labs, Inc practices in Buffalo, NY. The NPI Number for Great Lakes Orthopedic Labs, Inc is 1245318278 and holds a License No. (New York).

The current practice location address for Great Lakes Orthopedic Labs, Inc is 1031 Main St, Buffalo, NY and can be reached out via phone at 716-893-4116 and via fax at 716-897-2110.

Location: 1031 Main St, Buffalo, NY, 14203-1014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245318278
Provider Name
Great Lakes Orthopedic Labs, Inc
Credential
Provider Entity Type
Organization
Address
1031 Main St, Buffalo, NY, 14203-1014
Phone Number
716-893-4116
Fax Number
716-897-2110
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00011212601 01 NY UNIVERA HEALTHCARE
000551033001 01 NY BLUE CROSS & BLUE SHIELD
16146 01 NY MOLINA HEALTHCARE
040401000151 01 NY FIDELIS CARE NEW YORK
8207649 01 NY INDEPENDENT HEALTH ASSOCI
institution
Provider Business Practice Location Address Details
Address
1031 Main St
City
Buffalo
State
New York
Zip
14203-1014
Phone Number
716-893-4116
Fax Number
716-897-2110
person
Provider Business Mailing Address Details
Address
1031 Main St
City
Buffalo
State
New York
Zip
14203-1014
Phone Number
716-893-4116
Fax Number
716-897-2110
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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