Jan Pedersen BOCO ORTHOTIST

NPI 1386866234 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1386866234
Gender Male
Enumeration Date 05/02/2007
Last Updated 04/24/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
23 ALGONQUIN RD
WEST SAND LAKE NY, 12196-2000, US
Phone (518) 674-3361
Fax (518) 674-8320
Business Location
23 ALGONQUIN RD
WEST SAND LAKE NY, 12196-2000, US
Phone (518) 674-3361
Fax (518) 674-8320
Toxanomy
Taxonomy Code 335E00000X
License State
License Number
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According to our database, Mr. Jan Pedersen BOCO ORTHOTIST NPI is 1386866234, taxonomy code is 335E00000X Jan Pedersen BOCO ORTHOTIST physically located at 23 Algonquin Rd, West Sand Lake NY, 12196-2000. NPI Number Jan Pedersen BOCO ORTHOTIST has the Individual type.

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1386866234 NPI number is provided on an as is basis without warranty of any kind. 1386866234 is maintained by the National Plan & Provider Enumeration System. The contents of Jan Pedersen BOCO ORTHOTIST are for informational purposes only.