NPI 1174696736

Bethanapalli Bose, CPO

Practitioner Orthotist Brooklyn, NY

Practice location

Address: 6911 Fort Hamilton Pkwy, Brooklyn, NY 11228-1101
Phone: (718) 680-0225
Fax: (201) 796-5414
Mailing address: 1-25 26th St, Fair Lawn, NJ 07410-3802

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1127940 (NY)

Other Orthotist providers in New York →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1127940 (NY)

Other Prosthetist providers in New York →

Registry record

NPI: 1174696736
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2006
Record last updated: 1 Feb 2008

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.