Organization
PROSTHETIC REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW C CARUBIA CPO (OWNER)
(845) 565-8255
Entity
Organization
Contact information
Practice address
2 WINDING LN, NEWBURGH, NY 12550-2223
(845) 565-8255
(845) 565-4409
Mailing address
2 WINDING LN, NEWBURGH, NY 12550-2223
(845) 565-8255
(845) 565-4409
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01148407
—
NY
01
—
G54151
BC/BS
NY
Enumeration date
08/11/2006
Last updated
08/22/2020
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