Provider Demographics
NPI:1871921437
Name:ESCHEN PROSTHETIC AND ORTHOTIC LABORATORIES, INC
Entity type:Organization
Organization Name:ESCHEN PROSTHETIC AND ORTHOTIC LABORATORIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:H
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:212-606-1262
Mailing Address - Street 1:6851 JERICHO TPKE STE 125
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4454
Mailing Address - Country:US
Mailing Address - Phone:516-933-9255
Mailing Address - Fax:
Practice Address - Street 1:90 MERRICK AVE STE 210
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1573
Practice Address - Country:US
Practice Address - Phone:516-933-9255
Practice Address - Fax:516-933-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier