NPI 1013093053
Prothotic Laboratory, INC.
Practice location
- Address
- 2035 Lakeville Rd STE 202, New Hyde Park, NY 11040-1661
- Phone
- (516) 427-7714
- Fax
- (631) 753-4451
- Mailing address
- 2023 New Hwy, Farmingdale, NY 11735-1103
Authorised official
- Name
- Charles J Quigg
- Title
- Ceo/Owner
- Phone
- (631) 753-4444
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1013093053
- Entity type
- Organization
- NPI issued
- 31 Oct 2006
- Record last updated
- 18 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.