Contract Details
Pomac Prosthetic & Orthotic Management
Facility name
Greenseasons
Provider ID
P000006392
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
1440 East Gun Hill Rd
Bronx, NY 10469
United States
County
Bronx
Phone
7183251123 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address