Organization
STAFFORD LABS ORTHOTICS AND PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY C THOMPSON CPO (PRES.)
(845) 692-5227
Entity
Organization
Contact information
Practice address
189 MONHAGEN AVE., MIDDLETOWN, NY 10940
(845) 692-5227
(845) 692-5244
Mailing address
PO BOX 1004, GOSHEN, NY 10924
(845) 692-5227
(845) 692-5244
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01478986
—
NY
05
—
7830602
—
NJ
Enumeration date
02/13/2006
Last updated
03/10/2017
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