Provider Demographics
NPI:1508121393
Name:BD O & P INC.
Entity Type:Organization
Organization Name:BD O & P INC.
Other - Org Name:TEITELBAUM ORTHOTICS & PROSTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:TEITELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:C PED
Authorized Official - Phone:718-437-3200
Mailing Address - Street 1:943 46TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2332
Mailing Address - Country:US
Mailing Address - Phone:718-437-3200
Mailing Address - Fax:718-483-8057
Practice Address - Street 1:1310 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3521
Practice Address - Country:US
Practice Address - Phone:718-437-3200
Practice Address - Fax:718-483-8057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC36411335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier