Organization
PRIME ORTHO CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM OSCAR (FACILITY MANAGER)
(929) 653-1122
Entity
Organization
Contact information
Practice address
123 MEDFORD AVE, EAST PATCHOGUE, NY 11772-1203
(929) 653-1122
Mailing address
1652 MANATUCK BLVD, BAY SHORE, NY 11706-2149
(929) 653-1122
(832) 284-9876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
03/27/2025
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