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OLYMPIC ORTHOPEDICS PC NPI 1275612145


NPI Information

NPI: 1275612145
Provider Name: OLYMPIC ORTHOPEDICS, PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
652 SUFFOLK AVE STE 210
BRENTWOOD, NY
ZIP 11717
Phone: (631) 617-5181
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OLYMPIC ORTHOPEDICS, PC is an orthopaedic surgery in Brentwood, NY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. OLYMPIC ORTHOPEDICS, PC NPI is 1275612145. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

652 SUFFOLK AVE STE 210
BRENTWOOD, NY
ZIP 11717-305
Phone: (631) 617-5181
Fax: (631) 617-5182

The provider's authorized official is Christopher S Durant .
The authorized official title is Md and has the following contact phone number (631) 842-2003.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/4/2013.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery166030NEW YORKYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WWR361MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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