Organization
KMCPEDORTHICS INC
Active
Parent organization
KMCPEDORTHICS INC.
Other names
Castle O & P
Organization subpart
Yes
Provider details
NPI number
Legal business name
KMCPEDORTHICS INC.
Authorized official
KIM MARIE CASTELLI CPED COF (OWNER PRES)
(718) 441-5621
Entity
Organization
Contact information
Practice address
8620 JAMAICA AVE, WOODHAVEN, NY 11421
(718) 441-5621
(718) 441-5622
Mailing address
92 HARTMAN HILL RD, HUNTINGTON, NY 11743
(718) 441-5621
(718) 441-5622
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1148
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/03/2006
Last updated
11/17/2017
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