Provider Demographics
NPI:1285856385
Name:SUPPORT BY DESIGN INC
Entity Type:Organization
Organization Name:SUPPORT BY DESIGN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:917-902-1029
Mailing Address - Street 1:60 THOMAS ST
Mailing Address - Street 2:FLOOR #1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:917-902-1029
Mailing Address - Fax:212-608-9660
Practice Address - Street 1:60 THOMAS ST
Practice Address - Street 2:FLOOR #1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:917-902-1029
Practice Address - Fax:212-608-9660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Single Specialty