Provider Demographics
NPI:1073697603
Name:COMPLETE ORTHOPEDIC SERVICES, INC.
Entity Type:Organization
Organization Name:COMPLETE ORTHOPEDIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-357-9113
Mailing Address - Street 1:325 MERRICK AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1556
Mailing Address - Country:US
Mailing Address - Phone:516-357-9113
Mailing Address - Fax:516-478-4420
Practice Address - Street 1:325 MERRICK AVE STE 1
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1556
Practice Address - Country:US
Practice Address - Phone:516-357-9113
Practice Address - Fax:516-478-4420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02604373Medicaid
NY5198160001Medicare NSC
NY02604373Medicaid