Prothotic Laboratory, Inc.
NPI #1013093053 in New Hyde Park, New York
Provider Information
- NPI Number
- 1013093053
- Entity Type
- Organization
- Organization Name
- Prothotic Laboratory, Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Sep 18, 2024
Practice Location
- Address
- 2035 LAKEVILLE RD STE 202
- City
- New Hyde Park
- State
- New York
- ZIP Code
- 11040-1661
- Phone
- (516) 427-7714
Authorized Official
- Name
- CHARLES J QUIGG, CPO
- Title
- CEO/OWNER
- Phone
- (631) 753-4444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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