Organization
CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC
Active
Organization
CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC
Active
Other names
Center for Orthotic and Prosthetic Care
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
475 IRVING AVE STE 216, SYRACUSE, NY 13210-1558
(315) 218-6706
Mailing address
522 LIBERTY ST, SUITE 1, SYRACUSE, NY 13204-1249
(315) 218-6706
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03966492
—
NY
Enumeration date
03/20/2013
Last updated
03/07/2019
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