Provider Demographics
NPI:1013621135
Name:A&S ORTHOTICS LLC
Entity type:Organization
Organization Name:A&S ORTHOTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NETANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIMONOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-810-4777
Mailing Address - Street 1:26 LENORE AVE
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2705
Mailing Address - Country:US
Mailing Address - Phone:845-262-6608
Mailing Address - Fax:845-262-6608
Practice Address - Street 1:26 LENORE AVE
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2705
Practice Address - Country:US
Practice Address - Phone:845-262-6608
Practice Address - Fax:845-262-6608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies