Organization
LORELEI ORTHOTICS & PROSTHETICS, INC.
Active
Parent organization
LORELEI ORTHOTICS & PROSTHETICS, INC.
Other names
Westchester Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
LORELEI ORTHOTICS & PROSTHETICS, INC.
Authorized official
MR. BRIAN P KILCOMMONS C.O. (PRESIDENT)
(212) 727-2011
Entity
Organization
Contact information
Practice address
200 VETERANS RD, BUILDING A, GROUND FLOOR, YORKTOWN HEIGHTS, NY 10598-4130
(914) 962-3814
(212) 727-0844
Mailing address
19 W 21ST ST, SUITE 204, NEW YORK, NY 10010-6805
(212) 727-2011
(212) 727-0844
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01091818
—
NY
05
—
1046705
—
NJ
Enumeration date
02/21/2008
Last updated
02/21/2008
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