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Progressive O & P, INC

Prosthetic/Orthotic Supplier in Albertson, NY. Organization (NPI-2).

NPI number1124099031
StatusActive
Last updated in NPPESSep 8, 2011

Details

NPI
1124099031
Entity type
Organization (NPI-2)
Legal business name
Progressive O & P, INC
Organization subpart
No
Enumeration date
Jan 30, 2006
Last updated
Sep 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier–NYYes

Practice location

1111 Willis Avenue
Albertson, NY 11507-1230

Phone 516-338-8585 · Fax 516-338-7575

Mailing address

1111 Willis Avenue
Albertson, NY 11507-1230

Phone 516-338-8585 · Fax 516-338-7575

Authorized official

Daniel H Bastian
Vice President
5163388585

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