Organization
ORTHO BRACING SYSTEMS LTD
Active
Organization
ORTHO BRACING SYSTEMS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CICATELLI CERTIFIED ORTHOTIST (CERTIFIED ORTHOTIST)
(845) 528-1942
Entity
Organization
Contact information
Practice address
11 FLORENCE RD, PUTNAM VALLEY, NY 10579-3423
(845) 528-1942
(845) 528-1942
Mailing address
PO BOX 229, SHRUB OAK, NY 10588-0229
(845) 528-1942
(845) 528-1942
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01022540
—
NY
01
—
014505
AETNA
NY
Enumeration date
04/04/2006
Last updated
08/22/2020
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