Provider Demographics
NPI:1649877788
Name:RESILIENT ORTHO CARE, INC
Entity type:Organization
Organization Name:RESILIENT ORTHO CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORCILLA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:646-982-4743
Mailing Address - Street 1:5718 WOODSIDE AVE STE B102
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-3444
Mailing Address - Country:US
Mailing Address - Phone:718-426-7900
Mailing Address - Fax:718-426-7500
Practice Address - Street 1:5718 WOODSIDE AVE STE B102
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3444
Practice Address - Country:US
Practice Address - Phone:718-426-7900
Practice Address - Fax:718-426-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies