Provider Demographics
NPI:1629054747
Name:INTERNATIONAL ORTHOPEDICS, INC.
Entity Type:Organization
Organization Name:INTERNATIONAL ORTHOPEDICS, INC.
Other - Org Name:INTERNATIONAL PROSTHETICS AND ORTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHATZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:631-563-4550
Mailing Address - Street 1:9 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-2873
Mailing Address - Country:US
Mailing Address - Phone:631-563-4550
Mailing Address - Fax:631-563-4540
Practice Address - Street 1:37 RIDER AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-3915
Practice Address - Country:US
Practice Address - Phone:631-563-4550
Practice Address - Fax:631-563-4540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02056375Medicaid
NY02056375Medicaid