Organization
CREATIVE ORTHOTICS & PROSTHETICS, INC.
Active
Organization
CREATIVE ORTHOTICS & PROSTHETICS, INC.
Active
Parent organization
ST JOSEPH'S HEALTH SYSTEMS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST JOSEPH'S HEALTH SYSTEMS INC
Authorized official
JOHN RENZ (PRESIDENT, CEO)
(607) 733-5280
Entity
Organization
Contact information
Practice address
100 JOHN ROEMMELT DR, SUITE 200, HORSEHEADS, NY 14845-8301
(607) 796-5906
(607) 796-5908
Mailing address
100 JOHN ROEMMELT DR, SUITE 200, HORSEHEADS, NY 14845-8301
(607) 796-5906
(607) 796-5908
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02604337
—
NY
Enumeration date
10/16/2006
Last updated
12/10/2007
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