Mark Goldberg Prosthetic & Orthotic Labs, Inc.

LBN: Mark Goldberg Prosthetic & Orthotic Labs, Inc.
Mark Goldberg Prosthetic & Orthotic Labs, Inc. is an health care organization with primary practice located at 205 N Belle Mead Rd Ste 150 , East Setauket NY 11733-3483. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Mark Goldberg Prosthetic & Orthotic Labs, Inc. can be contacted via phone (631) 689-6606, or through Goldberg, Joshua Ryan via phone (631) 689-6606.

Contact Information

Primary practice address
205 N Belle Mead Rd Ste 150 East Setauket NY 11733-3483
Fax: (631) 941-3525
Website:
Authorized official contact:
Name: Goldberg, Joshua Ryan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X New York

Profile Details

NPI number 1578742839
LBN Legal business name Mark Goldberg Prosthetic & Orthotic Labs, Inc.
DBA Doing business as
Authorized official Goldberg, Joshua Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2007
Last updated Feb 17th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578742839 NPPES
New York MEDICAID 0107718

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