Provider Demographics
NPI:1427151448
Name:ORTHOPEDIC TREATMENT FACILITY, INC.
Entity type:Organization
Organization Name:ORTHOPEDIC TREATMENT FACILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARANO
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:718-898-7326
Mailing Address - Street 1:6914 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-4462
Mailing Address - Country:US
Mailing Address - Phone:718-898-7326
Mailing Address - Fax:718-898-2160
Practice Address - Street 1:69-14 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4462
Practice Address - Country:US
Practice Address - Phone:718-898-7326
Practice Address - Fax:718-898-2160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier