Organization
ORTHOTICS AND PROSTHETICS SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY MARY SOUSA (PRESIDENT)
(516) 827-0130
Entity
Organization
Contact information
Practice address
101 BLOOMINGDALE RD, STE 2, HICKSVILLE, NY 11801-6550
(516) 827-0130
(516) 827-0133
Mailing address
101 BLOOMINGDALE RD, STE 2, HICKSVILLE, NY 11801-6550
(516) 827-0130
(516) 827-0133
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CO002078
NY
Other
Enumeration date
03/12/2008
Last updated
03/08/2010
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