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Organization
EMPIRE STATE PROSTHETICS, INC.
Active
Organization
EMPIRE STATE PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J TRAUT CP (CERTIFIED PROSTHETIST)
(516) 378-0975
Entity
Organization
Contact information
Practice address
164B LONG BEACH RD, ISLAND PARK, NY 11558-1512
(516) 378-0975
Mailing address
164B LONG BEACH RD, ISLAND PARK, NY 11558-1512
(516) 378-0975
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02915415
—
NY
Enumeration date
01/15/2008
Last updated
03/11/2008
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