Organization
CARE CRAFTERS PROSTHETICS & ORTHOTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THADDEUS EDWARD DRYGAS CPO FAAOP (PRESIDENT)
(845) 426-6900
Entity
Organization
Contact information
Practice address
95 NEW CLARKSTOWN RD, NANUET, NY 10954-5203
(845) 426-6900
(845) 426-6926
Mailing address
95 NEW CLARKSTOWN RD, NANUET, NY 10954-5203
(845) 426-6900
(845) 426-6926
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
45PO00013300
NJ
224P00000X
Prosthetist
Primary
45PO00013300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01703433
—
NY
01
—
288276
WELLCARE PROVIDER NUMBER
NY
05
—
8586501
—
NJ
01
—
9602046
GHI PROVIDER NUMBER
NY
01
—
A398916
OXFORD PROVIDER NUMBER
NY
01
—
VION3P0506
VETERANS ADMINISTRATION
NY
Enumeration date
03/06/2007
Last updated
04/15/2016
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