Organization
JAN PEDERSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN PEDERSEN ORTHOTIST (OWNER)
(518) 674-3361
Entity
Organization
Contact information
Practice address
23 ALGONQUIN RD, WEST SAND LAKE, NY 12196-2000
(518) 674-3361
(518) 674-8320
Mailing address
23 ALGONQUIN RD, WEST SAND LAKE, NY 12196-2000
(518) 674-3361
(518) 674-8320
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01755577
—
NY
Enumeration date
11/15/2007
Last updated
11/15/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us