Provider Demographics
NPI:1023218054
Name:ASSOCIATES IN REHABILITATION TECHNOLOGY, INC
Entity Type:Organization
Organization Name:ASSOCIATES IN REHABILITATION TECHNOLOGY, INC
Other - Org Name:LA TORRE ORTHOPEDIC LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:P
Authorized Official - Last Name:LACY
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:518-786-8655
Mailing Address - Street 1:960 TROY SCHENECTADY RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-1610
Mailing Address - Country:US
Mailing Address - Phone:518-786-8655
Mailing Address - Fax:518-786-3594
Practice Address - Street 1:5010 STATE HIGHWAY 30
Practice Address - Street 2:SUITE 202
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-7532
Practice Address - Country:US
Practice Address - Phone:518-842-4189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier