Organization
ORTHOBODY MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY C VILLA-TINEO (OFFICER)
(917) 409-2876
Entity
Organization
Contact information
Practice address
629 W 185TH ST, NEW YORK, NY 10033-3102
(917) 409-2876
Mailing address
629 W 185TH ST, NEW YORK, NY 10033-3102
(917) 409-2876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/31/2017
Last updated
02/06/2019
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