Organization
JR PROSTHETICS AND ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVEED RANGREZ (CEO)
(347) 804-3100
Entity
Organization
Contact information
Practice address
4223 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2575
(347) 804-3100
Mailing address
4223 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2575
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224L00000X
Pedorthist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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