Organization
CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC.
Active
Other names
Center for Orthotic & Prosthetic Care
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
130 OAKDALE RD, JOHNSON CITY, NY 13790-1758
(607) 235-3066
(607) 235-3068
Mailing address
130 OAKDALE RD, JOHNSON CITY, NY 13790-1758
(607) 235-3066
(607) 235-3068
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03357086
—
NY
Enumeration date
03/23/2011
Last updated
02/10/2019
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