Organization
LSO ORTHOTICS, CO.
Active
Organization
LSO ORTHOTICS, CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIOS SOTEROPOULOS (PRESIDENT)
(917) 921-3772
Entity
Organization
Contact information
Practice address
3724 24TH ST STE 242, LONG ISLAND CITY, NY 11101-3553
(718) 606-2590
Mailing address
3724 24TH ST STE 242, LONG ISLAND CITY, NY 11101-3553
(718) 606-2590
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1437862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437862
DCA LICENSE
NY
Enumeration date
07/18/2012
Last updated
09/24/2012
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