Organization
G F H ORTHOTIC AND PROSTHETIC LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN F HUTNICK CPO (CERTIFIED PROSTHETIST ORTHOTIST OWN)
(631) 467-3725
Entity
Organization
Contact information
Practice address
161 KEYLAND CT, BOHEMIA, NY 11716-2621
(631) 467-3725
(631) 467-3512
Mailing address
161 KEYLAND CT, BOHEMIA, NY 11716-2621
(631) 467-3725
(631) 467-3512
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00435901
—
NY
Enumeration date
01/09/2007
Last updated
05/12/2011
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