Organization
ORTHOTIC AND PROSTHETIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN EASTON CO, LPO, BOCP (CEO)
(646) 262-1845
Entity
Organization
Contact information
Practice address
786 CASTLETON AVE., SI, NY 10310
(646) 262-1845
Mailing address
141 SILOAM RD, FREEHOLD, NJ 07728-8608
(646) 262-1845
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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