Provider Demographics
NPI:1093984338
Name:ORTHOPRO SERVICES, INC.
Entity Type:Organization
Organization Name:ORTHOPRO SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:AIZENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:212-888-7372
Mailing Address - Street 1:155 E 55TH ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4038
Mailing Address - Country:US
Mailing Address - Phone:212-888-7372
Mailing Address - Fax:212-888-1551
Practice Address - Street 1:155 E 55TH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4038
Practice Address - Country:US
Practice Address - Phone:212-888-7372
Practice Address - Fax:212-888-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier