Provider Demographics
NPI:1063646321
Name:ORTHO-RANGE LTD.
Entity Type:Organization
Organization Name:ORTHO-RANGE LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUDOLPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TADDONIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-777-0700
Mailing Address - Street 1:49 HALSTEAD AVENUE
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528
Mailing Address - Country:US
Mailing Address - Phone:914-777-0700
Mailing Address - Fax:914-777-3836
Practice Address - Street 1:49 HALSTEAD AVENUE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528
Practice Address - Country:US
Practice Address - Phone:914-777-0700
Practice Address - Fax:914-777-3836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies