Organization
NEW YORK ORTHOTIC & PROSTHETIC ASSOCIATES, LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BONNEVILLE CPO (MEMBER)
(516) 216-1888
Entity
Organization
Contact information
Practice address
810 JERICHO TPKE, NEW HYDE PARK, NY 11040-4514
(516) 216-1888
(516) 233-1889
Mailing address
810 JERICHO TPKE, NEW HYDE PARK, NY 11040-4514
(516) 216-1888
(516) 233-1889
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
N/A
—
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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