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Mark Goldberg Prosthetic & Orthotic Labs, Inc.
Prosthetic/Orthotic Supplier in East Setauket, New York
NPI 1578742839

Mark Goldberg Prosthetic & Orthotic Labs, Inc. is a Prosthetic/Orthotic Supplier based in East Setauket, NY. Mark Goldberg Prosthetic & Orthotic Labs, Inc. practices in East Setauket, NY. The NPI Number for Mark Goldberg Prosthetic & Orthotic Labs, Inc. is 1578742839 and holds a License No. (New York).

The current practice location address for Mark Goldberg Prosthetic & Orthotic Labs, Inc. is 205 N Belle Mead Rd Ste 150, East Setauket, NY and can be reached out via phone at 631-689-6606 and via fax at 631-941-3525.

Location: 205 N Belle Mead Rd Ste 150, East Setauket, NY, 11733-3483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578742839
Provider Name
Mark Goldberg Prosthetic & Orthotic Labs, Inc.
Credential
Provider Entity Type
Organization
Address
205 N Belle Mead Rd Ste 150, East Setauket, NY, 11733-3483
Phone Number
631-689-6606
Fax Number
631-941-3525
Provider Enumeration Date
11/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0107718 05 NY
institution
Provider Business Practice Location Address Details
Address
205 N Belle Mead Rd Ste 150
City
East Setauket
State
New York
Zip
11733-3483
Phone Number
631-689-6606
Fax Number
631-941-3525
person
Provider Business Mailing Address Details
Address
205 N Belle Mead Rd Ste 150
City
East Setauket
State
New York
Zip
11733-3483
Phone Number
631-689-6606
Fax Number
631-941-3525
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(New York)
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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