Organization
MEDMARKET CONSULTING INC.
Active
Other names
Finger Lakes Brace Co., Finger Lakes Bracing Co
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER PARKS AUTH. OFFICIAL (MANAGER/OWNER)
(918) 830-1090
Entity
Organization
Contact information
Practice address
718 LONG ISLAND AVE STE. A, DEER PARK, NY 11729
(918) 830-1090
Mailing address
7521 S OLYMPIA AVE # 1041, TULSA, OK 74132-1855
(918) 830-1090
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00078275
AETNA
NY
05
—
02560254
—
NY
01
—
118531GD
PREFERRED CARE
NY
05
—
2560254
—
NY
01
—
MC023N144
EXCELLUS BLUECROSS BLUESH
NY
01
—
P0170037FB
EXCELLUS BLUE CHOICE
NY
Enumeration date
10/09/2006
Last updated
03/27/2025
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