Organization
ORTHO MED SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SASON HAIMOV FUZAILOV (PRESIDENT)
(917) 615-3322
Entity
Organization
Contact information
Practice address
729 ELMONT RD, ELMONT, NY 11003-4035
(516) 699-3030
(516) 699-3032
Mailing address
729 ELMONT RD, ELMONT, NY 11003-4035
(516) 699-3030
(516) 699-3032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/20/2025
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