Organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-NORTHEAST,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROCK MCCONKEY MS, CPO (MANAGER)
(413) 735-1223
Entity
Organization
Contact information
Practice address
516 CAREW ST, SPRINGFIELD, MA 01104-2330
(413) 735-1223
(413) 735-1214
Mailing address
PO BOX 947109, ATLANTA, GA 30394-7109
(813) 367-2876
(813) 518-7659
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MA
Other
Enumeration date
09/22/2014
Last updated
04/23/2025
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