Provider Demographics
NPI:1093043788
Name:ORTHONET OF THE MID-ATLANTIC, INC.
Entity Type:Organization
Organization Name:ORTHONET OF THE MID-ATLANTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY, EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-681-8800
Mailing Address - Street 1:1311 MAMARONECK AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5222
Mailing Address - Country:US
Mailing Address - Phone:914-681-8800
Mailing Address - Fax:914-681-8899
Practice Address - Street 1:1311 MAMARONECK AVE STE 240
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-5222
Practice Address - Country:US
Practice Address - Phone:914-681-8800
Practice Address - Fax:914-681-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No305R00000XManaged Care OrganizationsPreferred Provider Organization