Organization
GREEN PROSTHETICS & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAKESH JAIN (CEO)
(201) 774-1085
Entity
Organization
Contact information
Practice address
1290 E 2ND ST, JAMESTOWN, NY 14701-1915
(716) 484-1088
(716) 664-6192
Mailing address
1290 E 2ND ST, JAMESTOWN, NY 14701-1915
(716) 484-1088
(716) 664-6192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02254635
—
NY
05
—
1007721900006
—
PA
Enumeration date
06/12/2006
Last updated
04/26/2024
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