Organization
SO.CAP USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CARDILLO (PRESIDENT)
(914) 517-8669
Entity
Organization
Contact information
Practice address
175 MYRTLE AVE, MAHOPAC FALLS, NY 10542
(914) 423-6545
Mailing address
P O BOX 51, MAHOPAC FALLS, NY 10542
(914) 423-6545
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/04/2015
Last updated
12/09/2015
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