Provider Demographics
NPI:1003155938
Name:ORTHO KINETICS OF NEW YORK INC
Entity Type:Organization
Organization Name:ORTHO KINETICS OF NEW YORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT PRINCIPLE
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GUARINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-513-1274
Mailing Address - Street 1:190 DUFFY AVE
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3640
Mailing Address - Country:US
Mailing Address - Phone:516-484-0897
Mailing Address - Fax:516-470-1820
Practice Address - Street 1:190 DUFFY AVE
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3640
Practice Address - Country:US
Practice Address - Phone:516-513-1274
Practice Address - Fax:516-470-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier