Contract Details
New England Orthotic & Prosthetic Systems, LLC
Facility name
New England Orthotic & Prosthetic Systems, LLC
Provider ID
P000006318
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
524 Main St Suite 200
Riverhead, NY 11901
United States
County
Suffolk
Phone
6313693115 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address