Organization
PERFORMANCE ORTHOPEDIC DESIGN, LLC
Active
Other names
Mountain Orthotic and Prosthetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LOUIS ERENSTONE (OWNER)
(518) 523-2419
Entity
Organization
Contact information
Practice address
7 OLD MILITARY RD, LAKE PLACID, NY 12946-1614
(518) 523-2419
(518) 523-7192
Mailing address
7 OLD MILITARY RD, LAKE PLACID, NY 12946-1614
(518) 523-2419
(518) 523-7192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02936501
—
NY
Enumeration date
07/19/2007
Last updated
09/18/2025
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