Contract Details
New England Orthotic & Prosthetic Systems, LLC
Facility name
New England Orthotic & Prosthetic Systems, LLC
Provider ID
P000003952
NPI
1174564975
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
55 Old Nyack Tpke Suite 207
Nanuet, NY 10954
United States
County
Rockland
Phone
8456243360 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address