Organization
CLINICAL PROSTHETICS & ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MISENER CPO (AUTHORIZED OFFICIAL)
(518) 432-0683
Entity
Organization
Contact information
Practice address
144 PINE ST, SUITE 120, KINGSTON, NY 12401-4946
(845) 336-7762
(845) 336-7763
Mailing address
144 PINE ST, SUITE 120, KINGSTON, NY 12401-4946
(845) 336-7762
(845) 336-7763
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02998112
—
NY
Enumeration date
06/15/2005
Last updated
09/08/2022
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