Organization
PERFORMANCE ORTHOPEDIC DESIGN LLC
Active
Other names
Mountain Orthotic and Prosthetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L ERENSTONE CPO (PRACTITIONER/PRESIDENT)
(518) 324-6569
Entity
Organization
Contact information
Practice address
106 W BAY PLZ, PLATTSBURGH, NY 12901-1785
(518) 324-6569
(518) 523-7192
Mailing address
7 OLD MILITARY RD, LAKE PLACID, NY 12946-1614
(518) 324-6569
(518) 523-7192
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO00420
NY
Other
Enumeration date
08/10/2010
Last updated
09/18/2025
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