Organization
CLINICAL PROSTHETICS & ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B MISENER CPO (AUTHORIZED OFFICIAL)
(518) 432-0683
Entity
Organization
Contact information
Practice address
149 S LAKE AVE, ALBANY, NY 12208-3201
(518) 432-0683
(518) 432-0686
Mailing address
149 S LAKE AVE, ALBANY, NY 12208-3201
(518) 432-0683
(518) 432-0686
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02322296
—
NY
Enumeration date
06/15/2005
Last updated
03/19/2026
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