Organization
ELITE CONCEPTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELITA SPENCE-BOWLES (OWNER)
(202) 607-6738
Entity
Organization
Contact information
Practice address
8 LAKEVIEW DR, FORT MONTGOMERY, NY 10922-0101
(929) 266-7711
Mailing address
PO BOX 101, FORT MONTGOMERY, NY 10922-0101
(917) 370-2634
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/21/2020
Last updated
06/12/2020
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