Provider Demographics
NPI:1457681652
Name:COMPLETE ORTHOPEDIC SERVICES INC
Entity Type:Organization
Organization Name:COMPLETE ORTHOPEDIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-357-9113
Mailing Address - Street 1:2094 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1709
Mailing Address - Country:US
Mailing Address - Phone:516-357-9113
Mailing Address - Fax:516-478-4420
Practice Address - Street 1:5713 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5332
Practice Address - Country:US
Practice Address - Phone:718-321-0407
Practice Address - Fax:718-321-3484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPLETE ORTHOPEDIC SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-11
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier