Provider Demographics
NPI:1770648545
Name:AAAAAR CONSTRUCTION OF ORTHOPEDIC APPLIANCES INC
Entity Type:Organization
Organization Name:AAAAAR CONSTRUCTION OF ORTHOPEDIC APPLIANCES INC
Other - Org Name:AAAAAR ORTHOPEDICS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-278-4938
Mailing Address - Street 1:PO BOX 657
Mailing Address - Street 2:AAAAAR ORTHOPEDICS INC
Mailing Address - City:GLENHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12527-0657
Mailing Address - Country:US
Mailing Address - Phone:845-278-4938
Mailing Address - Fax:845-278-6876
Practice Address - Street 1:141 MAIN STREET RTE 6
Practice Address - Street 2:AAAAAR CONSTRUCTION OF ORTHOPEDIC APPLIANCES INC
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-1476
Practice Address - Country:US
Practice Address - Phone:845-278-4938
Practice Address - Fax:845-278-6876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01686199Medicaid
NY01686199Medicaid