Fairchild Pedorthotic/Orthotic Services LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

C0003702 Issued in NY

Legal business name

FAIRCHILD PEDORTHOTIC/ORTHOTIC SERVICES LLC

Practice address

477 State St
Colonail Plaza
Binghamton, NY 13901-2341

Phone

(607) 348-0343

Fax

(607) 348-0347

NPI assigned

Nov 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edward Fairchild, CO

Title

Certified Orthotist

Phone

(607) 348-0343

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1962683144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 STATE ST",
            "address_2": "COLONAIL PLAZA",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012341",
            "telephone_number": "607-348-0343",
            "fax_number": "607-348-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 STATE ST",
            "address_2": "COLONAIL PLAZA",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012341",
            "telephone_number": "607-348-0343",
            "fax_number": "607-348-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCHILD PEDORTHOTIC/ORTHOTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CERTIFIED ORTHOTIST",
        "authorized_official_telephone_number": "607-348-0343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "C0003702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02408313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniella Fabian
• Danielle Lee Fabregas, LCSW
• Alexander Yakov Factourovich, MD
• Inna K Factourovich, MD
• Bailey Fahnestock
• Edward Fairchild, CO, CPED
• Fairview Recovery Services, Inc
• Margo A Falise, LCSW-R
• Kristen Renee Fallon, PTA
• Family Dental Practice of Binghamton PC

• Prosthetic/Orthotic Supplier in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.