Organization
ORTHOPEDIC APPLIANCES OF CENTRAL NEW YORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES N HETTLER C.O. (PRESIDENT)
(315) 474-2464
Entity
Organization
Contact information
Practice address
507 EAST FAYETTE STREET, SYRACUSE, NY 13202-1951
(315) 474-2464
(315) 474-2465
Mailing address
507 EAST FAYETTE STREET, SYRACUSE, NY 13202-1951
(315) 474-2464
(315) 474-2465
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00569746
—
NY
Enumeration date
12/06/2006
Last updated
08/22/2020
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