Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAN PEDERSEN, BOCO ORTHOTIST
Active Sole ProprietorMR. JAN PEDERSEN, BOCO ORTHOTIST is a Prosthetic/Orthotic Supplier healthcare provider located in WEST SAND LAKE, New York. NPI 1386866234 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · WEST SAND LAKE, NY
Registration Details
- NPI Number
- 1386866234
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2007 (19.259603040626 yrs)
- Last Updated
- Apr 24, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 ALGONQUIN RDWEST SAND LAKE, NY, 121962000Browse NY providers · Browse ZIP 12196
- Phone
- 5186743361
- Fax
- 5186748320
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.