Organization
CERTIFIED ORTHOPEDIC, CO. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT J. BEAUMAN C.O (OWNER/PRESIDENT)
(718) 338-1904
Entity
Organization
Contact information
Practice address
612 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7317
(718) 338-1904
(718) 258-1122
Mailing address
612 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7317
(718) 338-1904
(718) 258-1122
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00320705
—
NY
Enumeration date
01/30/2006
Last updated
05/28/2024
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