Organization
ORTHO MEDICAL PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE WILDE (PRESIDENT)
(516) 746-0556
Entity
Organization
Contact information
Practice address
123 SARATOGA ROAD, BUILDING 2 UNIT 6, SCOTIA, NY 12302-4181
(516) 746-0556
(518) 631-0026
Mailing address
210 JERICHO TPKE, MINEOLA, NY 11501-1701
(516) 746-0556
(516) 741-4738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01988081
—
NY
Enumeration date
05/14/2007
Last updated
09/25/2008
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