Contract Details
Pomac Prosthetic & Orthotic Management
Facility name
Bionics, Inc
Provider ID
P000006384
Tax ID
113154194
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
3675 Old Yorktown Rd Unit 1
Shrub Oak, NY 10588
United States
County
Westchester
Phone
9142451197 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address