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Innovative Service Inc
Prosthetic/Orthotic Supplier in Clinton, New York
NPI 1720033715

Innovative Service Inc is a Prosthetic/Orthotic Supplier based in Clinton, NY. Innovative Service Inc practices in Clinton, NY. The NPI Number for Innovative Service Inc is 1720033715 and holds a License No. (New York).

The current practice location address for Innovative Service Inc is 7506 State Route 5, Clinton, NY and can be reached out via phone at 315-853-1280 and via fax at 315-853-6087.

Location: 7506 State Route 5, Clinton, NY, 13323-0325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720033715
Provider Name
Innovative Service Inc
Credential
Provider Entity Type
Organization
Address
7506 State Route 5, Clinton, NY, 13323-0325
Phone Number
315-853-1280
Fax Number
315-853-6087
Provider Enumeration Date
05/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83Y 01 MEDICAID ETIN
02883443 05 NY
0701L001 01 NY DOH LICENSE #
institution
Provider Business Practice Location Address Details
Address
7506 State Route 5
City
Clinton
State
New York
Zip
13323-3654
Phone Number
315-853-1280
Fax Number
315-853-6087
person
Provider Business Mailing Address Details
Address
7506 State Route 5
City
Clinton
State
New York
Zip
13323-3654
Phone Number
315-853-1280
Fax Number
315-853-6087
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
251F00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
()
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
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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