Provider Demographics
NPI:1356346928
Name:ALL ISLAND ORTHOTICS & PROSTHETICS, INC
Entity type:Organization
Organization Name:ALL ISLAND ORTHOTICS & PROSTHETICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:516-365-7225
Mailing Address - Street 1:50 MAPLE PLACE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-321-9652
Mailing Address - Fax:516-365-7112
Practice Address - Street 1:50 MAPLE PLACE
Practice Address - Street 2:SUITE A
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:516-321-9652
Practice Address - Fax:516-365-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02202284Medicaid
NYA-2567462OtherOXFORD PROVIDER #
NYG-53691OtherBC/BS PROVIDE #
NYA-2567462OtherOXFORD PROVIDER #
4131190001Medicare NSC