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The Re-creation Boutique Inc.
Prosthetic/Orthotic Supplier in Whitestone, New York
NPI 1851408595

The Re-creation Boutique Inc. is a Prosthetic/Orthotic Supplier based in Whitestone, NY. The Re-creation Boutique Inc. practices in Whitestone, NY. The NPI Number for The Re-creation Boutique Inc. is 1851408595 and holds a License No. (New York).

The current practice location address for The Re-creation Boutique Inc. is 15253 10Th Ave, Whitestone, NY and can be reached out via phone at 718-746-0213 and via fax at 718-746-4696.

Location: 15253 10Th Ave, Whitestone, NY, 11357-1216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851408595
Provider Name
The Re-creation Boutique Inc.
Credential
Provider Entity Type
Organization
Address
15253 10Th Ave, Whitestone, NY, 11357-1216
Phone Number
718-746-0213
Fax Number
718-746-4696
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01481983 05 NY
institution
Provider Business Practice Location Address Details
Address
15253 10Th Ave
City
Whitestone
State
New York
Zip
11357-1216
Phone Number
718-746-0213
Fax Number
718-746-4696
person
Provider Business Mailing Address Details
Address
15253 10Th Ave
City
Whitestone
State
New York
Zip
11357-1216
Phone Number
718-746-0213
Fax Number
718-746-4696
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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