121 Care LLC
Prosthetic/Orthotic Supplier in New York, NY. Organization (NPI-2).
NPI number1164930665
StatusActive
Last updated in NPPESJan 18, 2018
Details
- NPI
- 1164930665
- Entity type
- Organization (NPI-2)
- Legal business name
- 121 Care LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 18, 2018
- Last updated
- Jan 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
215 E 73rd StNew York, NY 10021-3653
Phone 855-572-0400
Mailing address
215 E 73rd StNew York, NY 10021-3653
Phone 855-572-0400
Authorized official
Andrew Cantwell Pedtke
Ceo
6129104164
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