Contract Details
New England Orthotic & Prosthetic Systems, LLC
Facility name
Neops @ Jacobson Pharmacy
Provider ID
P000006214
Tax ID
061510989
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
359 East Main St
Mount Kisco, NY 10549
United States
County
Westchester
Phone
9142414887 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address