Organization
ORTHOTIC & PROSTHETIC ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTAGRACIA PENA-ATRISTAIN CPO (MANAGING MEMBER)
(347) 232-1464
Entity
Organization
Contact information
Practice address
450 WESTERN HWY STE A, ORANGEBURG, NY 10962-2188
(845) 459-0212
(845) 669-0152
Mailing address
13 CEDAR AVE, ORANGEBURG, NY 10962-2803
(845) 459-0212
(845) 669-0152
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
04/20/2023
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