NPI 1538315403

Center for Prosthetics and

Organisation Orthotist Bronx, NY

Practice location

Address: 5650 Mosholu Ave, Bronx, NY 10471
Phone: (914) 715-6010
Fax: (718) 796-7180
Mailing address: 5674 Mosholu Ave, Bronx, NY 10471

Authorised official

Name: John K Paulose
Title: Director
Phone: (914) 715-6010

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1538315403
Entity type: Organization
NPI issued: 12 Aug 2008
Record last updated: 13 Jul 2012

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.