Organization
ORTHOTICS & PROSTHETICS STAT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DIAZ (PRACTITIONER)
(516) 633-3506
Entity
Organization
Contact information
Practice address
1250 WATERS PL, BRONX, NY 10461-2720
(516) 633-3506
Mailing address
99 BEACH RD, MASSAPEQUA, NY 11758-6614
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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