Organization
MANCHESTER ORTHOPEDIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM TEITELBAUM C.O. (PRES.)
(718) 925-2922
Entity
Organization
Contact information
Practice address
365 ROUTE 59 STE 214, AIRMONT, NY 10952-3459
(718) 925-2922
(718) 925-2232
Mailing address
365 ROUTE 59 STE 214, AIRMONT, NY 10952-3459
(718) 925-2922
(718) 925-2232
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NY
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00368350
—
NY
01
—
1578653085
INDIVIDUAL NPI NUMBER
NY
Enumeration date
01/22/2008
Last updated
07/21/2022
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