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Custom Orthopedic Supply LLC

NPI #1093232811 in Nanuet, New York

Provider Information

NPI Number
1093232811
Entity Type
Organization
Organization Name
Custom Orthopedic Supply LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Aug 23, 2017
Last Updated
Aug 23, 2017

Practice Location

Address
100 LAWRENCE STREET
Address 2
SUITE 201
City
Nanuet
State
New York
ZIP Code
10954
Phone
(650) 550-8515

Authorized Official

Name
FAIGY WEBER
Title
OWNER
Phone
(650) 550-8515

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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