Michael David Nadata, C.P.O.

NPI #1316039464 in Valley Stream, New York

Provider Information

NPI Number: 1316039464
Entity Type: Individual
Name: Michael David Nadata, C.P.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotic Fitter
Credential: C.P.O.
Enumeration Date: Sep 28, 2006
Last Updated: Mar 12, 2018

Practice Location

Address: 214 E SUNRISE HWY
City: Valley Stream
State: New York
ZIP Code: 11581-1315
Phone: (516) 239-0990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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