Organization
ORTHO DYNAMIC LIMBS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO EDUARDO MARTINEZ CPO (PRESIDENT)
(914) 772-2156
Entity
Organization
Contact information
Practice address
169 GRAND ST, WHITE PLAINS, NY 10601-4804
(917) 438-4214
(917) 438-4213
Mailing address
252 OLD MAMARONECK RD, WHITE PLAINS, NY 10605-3319
(914) 772-2156
(917) 438-4213
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13202
CONTRACTOR NUMBER
—
Enumeration date
10/16/2023
Last updated
02/03/2025
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