Organization
CENTIPEDE'S O&P LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON SCOTT OKIN CO (PRESIDENT)
(718) 490-6830
Entity
Organization
Contact information
Practice address
4210 13TH AVE, BROOKLYN, NY 11219-1335
(718) 484-1700
(718) 484-1700
Mailing address
PO BOX 190325, BROOKLYN, NY 11219-0325
(718) 484-1700
(718) 484-1707
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03082684
—
NY
Enumeration date
04/24/2008
Last updated
04/14/2009
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