Organization
TMR ORTHOTIC & PROSTHETIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CONCEICAO CPO (PRESIDENT)
(718) 726-8477
Entity
Organization
Contact information
Practice address
2418 DITMARS BLVD, ASTORIA, NY 11105-3338
(718) 726-8477
(718) 545-3394
Mailing address
2418 DITMARS BLVD, ASTORIA, NY 11105-3338
(718) 726-8477
(718) 545-3394
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00678464
—
NY
Enumeration date
06/25/2006
Last updated
09/17/2008
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