Prothotic Laboratory, Inc.

NPI 1013093053 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1013093053
Enumeration Date 10/31/2006
Last Updated 11/08/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES J. CHARLES
Position CEO
Phone (718) 797-2220
Fax (718) 797-0951
Practice Location
71 CARROLL ST
BROOKLYN NY, 11231-2767, US
Phone (718) 797-2220
Fax (718) 797-0951
Business Location
2017 NEW HIGHWAY
FARMINGDALE NY, 11735, US
Phone (631) 753-4444
Fax (631) 753-1874
Toxanomy
Taxonomy Code 335E00000X
License State
License Number
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According to our database, Prothotic Laboratory, Inc. NPI is 1013093053, taxonomy code is 335E00000X Prothotic Laboratory, Inc. physically located at 71 Carroll St, Brooklyn NY, 11231-2767. NPI Number 1033115704 has the healthcare provider type.

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1013093053 NPI number is provided on an as is basis without warranty of any kind. 1013093053 is maintained by the National Plan & Provider Enumeration System. The contents of Prothotic Laboratory, Inc. are for informational purposes only.