Organization
BETHANAPALLI BOSE
Active
Organization
BETHANAPALLI BOSE
Active
Other names
Orthotic & Prosthetic Care
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANAPALLI BOSE CPO (OWNER)
(718) 832-0225
Entity
Organization
Contact information
Practice address
581 5TH AVE, BROOKLYN, NY 11215-8407
(718) 832-0225
(201) 796-5414
Mailing address
581 5TH AVE, BROOKLYN, NY 11215-8407
(718) 832-0225
(201) 796-5414
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00835727
—
NY
Enumeration date
02/07/2008
Last updated
04/04/2012
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