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Organization

SAFESTEP, LLC

Active
Parent organization
ORTHOTIC HOLDINGS INCORPORATED
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOTIC HOLDINGS INCORPORATED
Authorized official
DR. JOSH WHITE DPM, CPED (VP)
(973) 945-6827
Entity
Organization

Contact information

Practice address
2905 VETERANS MEMORIAL HWY STE 2, RONKONKOMA, NY 11779-7655
(866) 712-7837
(631) 392-7133
Mailing address
2905 VETERANS MEMORIAL HWY STE 2, RONKONKOMA, NY 11779-7655
(866) 712-7837
(631) 392-7133

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPED4258
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7616740001
MEDICARE NSC
NY
Enumeration date
02/01/2017
Last updated
03/27/2018
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