Organization
AXIOM PT & OT PLUS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALBEN (PRACTICE ADMINISTRATOR)
(914) 961-1010
Entity
Organization
Contact information
Practice address
115 MAIN ST, SUITE: # 202, TUCKAHOE, NY 10707-2911
(914) 961-1010
(914) 961-1011
Mailing address
115 MAIN ST, SUITE: # 202, TUCKAHOE, NY 10707-2911
(914) 961-1010
(914) 961-1011
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
NY
224L00000X
Pedorthist
—
NY
224P00000X
Prosthetist
—
NY
225000000X
Orthotic Fitter
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03282455
—
NY
Enumeration date
10/14/2011
Last updated
10/14/2011
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