Organization
HOWARD ORTHOTICS AND PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY STAUB (VPA/INCOME MANAGER)
(315) 786-8973
Entity
Organization
Contact information
Practice address
316 SHERMAN ST, WATERTOWN, NY 13601-3614
(315) 786-0655
(315) 786-7993
Mailing address
316 SHERMAN STREET, WATERTOWN, NY 13601-2729
(315) 786-8973
(315) 786-7993
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386432
—
NY
01
—
4697030001
MEDICARE DMERC
NY
Enumeration date
02/26/2008
Last updated
08/22/2019
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