Organization
ORTHOPEDIC ARTS LABORATORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN MANUCHARIAN CP (CLINICAL DIRECTOR)
(718) 858-2400
Entity
Organization
Contact information
Practice address
141 ATLANTIC AVE, BROOKLYN, NY 11201-5516
(718) 858-2400
(718) 858-9258
Mailing address
141 ATLANTIC AVE, BROOKLYN, NY 11201-5516
(718) 858-2400
(718) 858-9258
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01998558
—
NY
Enumeration date
06/29/2006
Last updated
03/24/2015
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