Huysman Orthotics LTD.

Organization Active NPI Prosthetic/Orthotic Supplier · East Moriches, NY

NPI 1215065628 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1215065628
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
Legal business name
HUYSMAN ORTHOTICS LTD.
Practice address
494 Montauk Highway
East Moriches, NY 11940-0202
Phone
(631) 878-8864
Fax
(631) 878-0919
NPI assigned
Feb 28, 2007
Organization subpart
No

Authorized official

Name
Mr. David Dominic Huysman, C.P.O.
Title
Certified Prosthetist-Orthotist PR
Phone
(631) 878-8864

National Provider Directory

Locations

494 Montauk Hwy
East Moriches, NY 11940
Phone (631) 878-8864

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Yes

Addresses

Primary practice location

494 Montauk Highway
East Moriches, NY 11940-0202

Mailing address

PO Box 202
East Moriches, NY 11940-0202
Phone (631) 878-8864

Other identifiers

IdentifierTypeStateIssuer
00820140MedicaidNY

Other providers in East Moriches, NY

All providers in East Moriches, NY · Prosthetic/Orthotic Supplier in New York

Sources for this page

Verify at the official NPI Registry.