| Organization Name: | SYNERGY ORTHOPEDICS, LLC |
| NPI Number: | 1184808016 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW A LAGOWSKI (MANAGING PARTNER) |
| Mailing Address: | 232 Sunrise Ave Honesdale |
| State: | PA US |
| Postal Code: | 184311085 |
| Phone Number: | 5702518100 |
| Fax Number: | 5702518231 |
| NPI Enumeration Date: | 12/27/2007 |
| NPI Last Update Date: | 08/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 6000006799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |