Contract Details
American Prosthetics & Orthotics
Facility name
Bergman O & P
Provider ID
P000006268
Tax ID
900427698
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
5901 69th St
Maspeth, NY 11378
United States
County
Queens
Phone
9175927277 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address