Provider Demographics
NPI:1184713588
Name:BIOTECH INDUSTRIES LTD
Entity type:Organization
Organization Name:BIOTECH INDUSTRIES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:CPO LPO CPED
Authorized Official - Phone:914-683-0016
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-683-0016
Mailing Address - Fax:914-682-1510
Practice Address - Street 1:785 MAMARONECK AVENUE
Practice Address - Street 2:BUILDING 4 LOWER LEVEL
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-683-0016
Practice Address - Fax:914-682-1510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00789262Medicaid
0312230001Medicare NSC