Progressive Orthotics Ltd

LBN: Progressive Orthotics Ltd
Progressive Orthotics Ltd is an health care organization with primary practice located at 285 Sills Rd Suite 8C, Patchogue NY 11772. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Progressive Orthotics Ltd can be contacted via phone (631) 447-3860, or through Goodman, Bruce B via phone (631) 732-5556.

Contact Information

Primary practice address
285 Sills Rd Suite 8C Patchogue NY 11772
Phone: (631) 447-3860
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Bruce B CO BOCP
Phone: (631) 732-5556

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1396938775
LBN Legal business name Progressive Orthotics Ltd
DBA Doing business as
Authorized official Goodman, Bruce B CO BOCP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2007
Last updated Aug 20th, 2007 - about 17 years ago

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 1396938775 NPPES
New York MEDICAID 00615045

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