Organization
LORELEI ORTHOTICS AND PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J WESTLAKE C.O. (OWNER)
(212) 727-2011
Entity
Organization
Contact information
Practice address
19 W 21ST ST, SUITE 204, NEW YORK, NY 10010-6805
(212) 727-2011
(212) 727-0844
Mailing address
19 W 21ST ST, SUITE 204, NEW YORK, NY 10010-6805
(212) 727-2011
(212) 727-0844
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01091818
—
NY
05
—
1046705
—
NJ
Enumeration date
01/23/2007
Last updated
12/03/2013
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