Provider Demographics
NPI:1376916072
Name:SO.CAP USA
Entity Type:Organization
Organization Name:SO.CAP USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-517-8669
Mailing Address - Street 1:P O BOX 51
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:10542
Mailing Address - Country:US
Mailing Address - Phone:914-423-6545
Mailing Address - Fax:
Practice Address - Street 1:175 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:MAHOPAC FALLS
Practice Address - State:NY
Practice Address - Zip Code:10542
Practice Address - Country:US
Practice Address - Phone:914-423-6545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier