Organization
PROGRESSIVE ORTHOTICS LTD
Active
Organization
PROGRESSIVE ORTHOTICS LTD
Active
Parent organization
PROGRESSIVE ORTHOTICS LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVE ORTHOTICS LTD
Authorized official
MR. BRUCE S GOODMAN CO BOCP (CEO)
(631) 732-5556
Entity
Organization
Contact information
Practice address
280 MIDDLE COUNTRY RD STE G, SELDEN, NY 11784-2532
(631) 732-5556
(631) 732-0218
Mailing address
280 MIDDLE COUNTRY RD STE G, SELDEN, NY 11784-2532
(631) 732-5556
(631) 732-0218
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00615045
—
NY
Enumeration date
11/02/2006
Last updated
03/12/2008
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