Provider Demographics
NPI:1790787018
Name:ORTHOTICS LTD
Entity Type:Organization
Organization Name:ORTHOTICS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NOSSON
Authorized Official - Middle Name:
Authorized Official - Last Name:TREITEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-337-8600
Mailing Address - Street 1:26 GROVE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:NY
Mailing Address - Zip Code:10926-3240
Mailing Address - Country:US
Mailing Address - Phone:914-337-8600
Mailing Address - Fax:914-337-6406
Practice Address - Street 1:26 GROVE ST STE 101
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:NY
Practice Address - Zip Code:10926
Practice Address - Country:US
Practice Address - Phone:914-337-8600
Practice Address - Fax:914-337-6406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00889258Medicaid
NY00889258Medicaid