Organization
PROTHOTIC LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J QUIGG CPO (CEO/OWNER)
(631) 753-4444
Entity
Organization
Contact information
Practice address
2035 LAKEVILLE RD STE 202, NEW HYDE PARK, NY 11040-1661
(516) 427-7714
(631) 753-4451
Mailing address
2023 NEW HWY, FARMINGDALE, NY 11735-1103
(631) 753-4444
(631) 753-1874
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
09/18/2024
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