NORTHERN ORTHOPEDIC LABORATORY INC. NPI 1124167309

NPI Information

NORTHERN ORTHOPEDIC LABORATORY, INC. is a prosthetic orthotic supplier in Syracuse, NY. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. NORTHERN ORTHOPEDIC LABORATORY, INC. NPI is 1124167309. The provider is registered as an organization entity type.

The provider's business location address is:

600 E GENESEE ST
SUITE 114
SYRACUSE, NY
ZIP 13202-130
Phone: (315) 476-3831
Fax: (315) 476-3908

The provider's authorized official is Donald W Holmes .
The authorized official title is President and has the following contact phone number (315) 782-9079.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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