Organization
ORTHO-BIONICS LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND MARX CPO (PRESIDENT)
(718) 845-5572
Entity
Organization
Contact information
Practice address
11442 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-1928
(718) 845-5572
Mailing address
11442 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-1928
(718) 845-5572
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00328496
—
NY
Enumeration date
01/25/2006
Last updated
08/22/2020
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