Mountain Orthotic And Prosthetic Services

LBN: Performance Orthopedic Design, Llc
Mountain Orthotic And Prosthetic Services is an health care organization with primary practice located at 7 Old Military Rd , Lake Placid NY 12946-1614. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Performance Orthopedic Design, Llc can be contacted via phone (518) 523-2419, or through Erenstone, Jeffrey Louis via phone (518) 523-2419.

Contact Information

Primary practice address
7 Old Military Rd Lake Placid NY 12946-1614
Phone: (518) 523-2419
Fax: (518) 523-7192
Website:
Map and Directions
Authorized official contact:
Name: Erenstone, Jeffrey Louis
Phone: (518) 523-2419

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1205036142
LBN Legal business name Performance Orthopedic Design, Llc
DBA Doing business as Mountain Orthotic And Prosthetic Services
Authorized official Erenstone, Jeffrey Louis
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2007
Last updated Sep 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205036142 NPPES
New York MEDICAID 02936501

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