Provider Demographics
NPI:1053603530
Name:COMPLETE ORTHOPEDIC SERVICES INC.
Entity type:Organization
Organization Name:COMPLETE ORTHOPEDIC SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-357-9113
Mailing Address - Street 1:325 MERRICK AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1556
Mailing Address - Country:US
Mailing Address - Phone:516-357-9113
Mailing Address - Fax:516-478-4420
Practice Address - Street 1:652 E FORDHAM RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5020
Practice Address - Country:US
Practice Address - Phone:718-484-9900
Practice Address - Fax:718-484-9910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies