Organization
ULTRAPEDICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TULIO RIVERA CPO (OWNER)
(718) 748-4806
Entity
Organization
Contact information
Practice address
355 OVINGTON AVENUE, SUITE 104, BROOKLYN, NY 11209-1483
(718) 748-4806
(718) 748-4884
Mailing address
355 OVINGTON AVENUE, SUITE 104, BROOKLYN, NY 11209-1483
(718) 748-4806
(718) 748-4884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
CP002645
NY
335E00000X
Prosthetic/Orthotic Supplier
45PO00001600
NJ
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP002645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00870104
—
NY
Enumeration date
05/23/2005
Last updated
03/24/2009
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