Gibraltar Orthotics INC

NPI #1851355994 in Pearl River, New York

Provider Information

NPI Number: 1851355994
Entity Type: Organization
Organization Name: Gibraltar Orthotics INC
Primary Specialty: Orthotic Fitter
Enumeration Date: Apr 14, 2006
Last Updated: Jan 22, 2020

Practice Location

Address: 91 E CENTRAL AVE
City: Pearl River
State: New York
ZIP Code: 10965
Phone: (845) 620-1188

Authorized Official

Name: MR. DANIEL SCISCENTE, C.O.
Title: VICE PRESIDENT ABC CERTIFIED OFFICE
Phone: (845) 620-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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