Organization
LIBERTY ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS XAVIER BRANDT SR. (PRESIDENT/OWNER)
(516) 326-6786
Entity
Organization
Contact information
Practice address
1201 2ND AVE, NEW HYDE PARK, NY 11040-4925
(516) 326-6786
(516) 326-6784
Mailing address
1201 2ND AVE, NEW HYDE PARK, NY 11040-4925
(516) 326-6786
(516) 326-6784
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000412358262
HEALTH PLUS
NY
05
—
02010093
—
NY
01
—
04072200123
FIDELIS HEALTH PLANS
NY
01
—
1000023042
AFFINITY PROVIDER NUMBER
NY
01
—
10093592
CDPHP PROVIDER #
NY
01
—
10532
HUDSON HEALTH PLAN
NY
01
—
1211801
COMMUNITY PREMIER PLUS
NY
01
—
2021095
AETNA PROVIDER NUMBER
NY
01
—
3125
NY PRESBYTERIAN SELECT
NY
01
—
4C4927
HEALTH NET
NY
01
—
57P0182
ABC HEALTH PLANS
NY
Enumeration date
06/07/2006
Last updated
08/22/2020
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