Organization
DYNAMIC ORTHOPEDIC LABORATORY
Active
Other names
John F Hoffert
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FRANCIS HOFFERT JR. CO/BOCP (OWNER)
(518) 828-2333
Entity
Organization
Contact information
Practice address
320 ROUTE 66, HUDSON, NY 12534-3429
(518) 828-2333
(518) 828-1350
Mailing address
320 ROUTE 66, HUDSON, NY 12534-3429
(518) 828-2333
(518) 828-1350
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400980001
BSOF NORTHWEST NEW YORK
NY
05
—
00867670
—
NY
01
—
10014666
CAP. DIST. PHY. HEALTH PL
NY
Enumeration date
08/23/2005
Last updated
08/06/2013
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