Organization
CENTER FOR PROSTHETICS AND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K PAULOSE ORTHOTIST (DIRECTOR)
(914) 715-6010
Entity
Organization
Contact information
Practice address
5650 MOSHOLU AVE, BRONX, NY 10471
(914) 715-6010
(718) 796-7180
Mailing address
5674 MOSHOLU AVE, BRONX, NY 10471
(914) 715-6010
(718) 796-7180
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
07/13/2012
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