Organization
ORTHOSERVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIL BABAKHANOV (PRESIDENT)
(917) 882-0717
Entity
Organization
Contact information
Practice address
2603 WEBSTER AVE, BRONX, NY 10458-4845
(718) 618-7503
(718) 618-7504
Mailing address
2987 WEBSTER AVE, BRONX, NY 10458-2478
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
12/06/2017
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