Organization
KONRAD PROSTHETICS AND ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT KONRAD CPO E (PRESIDENT)
(516) 485-9164
Entity
Organization
Contact information
Practice address
596 JENNINGS AVE, WEST HEMPSTEAD, NY 11552-3706
(516) 485-9164
(516) 485-9170
Mailing address
596 JENNINGS AVE, WEST HEMPSTEAD, NY 11552-3706
(516) 485-9164
(516) 485-9170
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00376343
—
NY
01
—
96463
AETNA
NY
01
—
G5336
EMPIRE BC/BS
NY
Enumeration date
06/30/2005
Last updated
08/17/2018
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