Organization
ARTISAN ORTHOTIC & PROSTHETIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDIA PENA-ATRISTAIN CP (PRESIDENT)
(646) 410-2001
Entity
Organization
Contact information
Practice address
3 E 115TH ST, CS1, NEW YORK, NY 10029-1088
(646) 410-2001
Mailing address
13 CEDAR AVE, ORANGEBURG, NY 10962-2803
(347) 232-1464
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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