Center for Prosthetics and

NPI #1538315403 in Bronx, New York

Provider Information

NPI Number: 1538315403
Entity Type: Organization
Organization Name: Center for Prosthetics and
Primary Specialty: Orthotist
Enumeration Date: Aug 12, 2008
Last Updated: Jul 13, 2012

Practice Location

Address: 5650 MOSHOLU AVE
City: Bronx
State: New York
ZIP Code: 10471
Phone: (914) 715-6010

Authorized Official

Name: JOHN K PAULOSE, ORTHOTIST
Title: DIRECTOR
Phone: (914) 715-6010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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