Provider Demographics
NPI:1841387909
Name:MEDMARKET CONSULTING INC.
Entity Type:Organization
Organization Name:MEDMARKET CONSULTING INC.
Other - Org Name:FINGER LAKES BRACE CO.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-528-3832
Mailing Address - Street 1:718 LONG ISLAND AVE STE. A
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729
Mailing Address - Country:US
Mailing Address - Phone:918-528-3832
Mailing Address - Fax:918-664-7300
Practice Address - Street 1:718 LONG ISLAND AVE STE. A
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729
Practice Address - Country:US
Practice Address - Phone:918-528-3832
Practice Address - Fax:918-664-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00078275OtherAETNA
NY2560254Medicaid
NY118531GDOtherPREFERRED CARE
NYP0170037FBOtherEXCELLUS BLUE CHOICE
NY02560254Medicaid
NYMC023N144OtherEXCELLUS BLUECROSS BLUESH
NY4924530001Medicare NSC