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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAN PEDERSEN, BOCO ORTHOTIST

Active Sole Proprietor

MR. 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 RD
WEST SAND LAKE, NY, 121962000
Browse 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.