Provider Demographics
NPI:1952430118
Name:NEW YORK ORTHOPEDIC LTD
Entity Type:Organization
Organization Name:NEW YORK ORTHOPEDIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-357-9113
Mailing Address - Street 1:2094 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1709
Mailing Address - Country:US
Mailing Address - Phone:516-357-9113
Mailing Address - Fax:516-357-9186
Practice Address - Street 1:2094 FRONT ST
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1709
Practice Address - Country:US
Practice Address - Phone:516-357-9113
Practice Address - Fax:516-357-9186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment