Prothotic Laboratory, Inc.

LBN: Prothotic Laboratory, Inc.
Prothotic Laboratory, Inc. is an health care organization with primary practice located at 2023 New Hwy , Farmingdale NY 11735-1103. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Prothotic Laboratory, Inc. can be contacted via phone (631) 753-4444, or through Quigg, Charles J via phone (631) 753-4444.

Contact Information

Primary practice address
2023 New Hwy Farmingdale NY 11735-1103
Phone: (631) 753-4444
Fax: (631) 753-4451
Website:
Map and Directions
Authorized official contact:
Name: Quigg, Charles J CPO
Phone: (631) 753-4444

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1376544718
LBN Legal business name Prothotic Laboratory, Inc.
DBA Doing business as
Authorized official Quigg, Charles J CPO
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated May 20th, 2024 - about 7 months 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 1376544718 NPPES
New York MEDICAID 01126865
New York Other ANC0027-01
New York Other A2559046
New York Other 8450582
New York Other 1000002465
New York Other 000574766
New York Other 3CO793
New York Other 57C0391
New York Other 45797
New York Other A32A0031
New York Other 040810000002
New York Other G54141

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