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Prothotic Laboratory, Inc.
Prosthetic/Orthotic Supplier in Farmingdale, New York
NPI 1376544718

Prothotic Laboratory, Inc. is a Prosthetic/Orthotic Supplier based in Farmingdale, NY. Prothotic Laboratory, Inc. practices in Farmingdale, NY. The NPI Number for Prothotic Laboratory, Inc. is 1376544718 and holds a License No. (New York).

The current practice location address for Prothotic Laboratory, Inc. is 2023 New Hwy, Farmingdale, NY and can be reached out via phone at 631-753-4444 and via fax at 631-753-4451.

Location: 2023 New Hwy, Farmingdale, NY, 11735-1103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376544718
Provider Name
Prothotic Laboratory, Inc.
Credential
Provider Entity Type
Organization
Address
2023 New Hwy, Farmingdale, NY, 11735-1103
Phone Number
631-753-4444
Fax Number
631-753-4451
Provider Enumeration Date
08/09/2005
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01126865 05 NY
ANC0027-01 01 AMERICHOICE
A2559046 01 OXFORD HEALTH PLAN
8450582 01 AETNA NON-HMO
1000002465 01 AFFINITY HEALTH PLAN
000574766 01 UNITED HEALTHCARE
3CO793 01 HEALTH NET (PHS
57C0391 01 COMMUNITY PREMIER PLUS
45797 01 AETNA HMO
A32A0031 01 ABC HEALTH PLAN
040810000002 01 FIDELIS CARE
G54141 01 EMPIRE HEALTH CHOICE
institution
Provider Business Practice Location Address Details
Address
2023 New Hwy
City
Farmingdale
State
New York
Zip
11735-1103
Phone Number
631-753-4444
Fax Number
631-753-4451
person
Provider Business Mailing Address Details
Address
2023 New Hwy
City
Farmingdale
State
New York
Zip
11735-1103
Phone Number
631-753-4444
Fax Number
631-753-4451
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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