Organization Name: | NORTHEAST FOOT & ANKLE ASSOCIATES, LLC. |
NPI Number: | 1275854010 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUSTINE M METCHO (OWNER) |
Mailing Address: | 532 Main St Suite #2 Moosic |
State: | PA US |
Postal Code: | 185071074 |
Phone Number: | 5704576540 |
Fax Number: | 5704576541 |
NPI Enumeration Date: | 06/16/2010 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | SC004803-L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |