Provider Demographics
NPI:1699809988
Name:PREMIERE BRACE & LIMB INC
Entity Type:Organization
Organization Name:PREMIERE BRACE & LIMB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEKOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-547-9954
Mailing Address - Street 1:3049 OCEAN PKWY STE 300-B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8302
Mailing Address - Country:US
Mailing Address - Phone:718-266-9800
Mailing Address - Fax:
Practice Address - Street 1:3049 OCEAN PKWY STE 300-B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8302
Practice Address - Country:US
Practice Address - Phone:718-266-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies