Provider Demographics
NPI:1306354311
Name:PRISK ORTHOPAEDICS AND WELLNESS, PC
Entity type:Organization
Organization Name:PRISK ORTHOPAEDICS AND WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PRISK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-525-7692
Mailing Address - Street 1:2490 MOSSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4236
Mailing Address - Country:US
Mailing Address - Phone:412-525-7692
Mailing Address - Fax:412-646-1995
Practice Address - Street 1:2490 MOSSIDE BLVD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-4236
Practice Address - Country:US
Practice Address - Phone:412-525-7692
Practice Address - Fax:412-646-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2019-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty