Provider Demographics
NPI:1235425091
Name:ORTHOPEDIC ALTERNATIVES, LTD.
Entity Type:Organization
Organization Name:ORTHOPEDIC ALTERNATIVES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:SETH
Authorized Official - Last Name:TOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED ORTHOTIST
Authorized Official - Phone:718-264-9800
Mailing Address - Street 1:18515 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1731
Mailing Address - Country:US
Mailing Address - Phone:718-264-9800
Mailing Address - Fax:718-264-9141
Practice Address - Street 1:246 MINEOLA BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2436
Practice Address - Country:US
Practice Address - Phone:516-282-0010
Practice Address - Fax:516-282-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01063914Medicaid
NY01063914Medicaid