NPI: 1669560736 · EAST NORTHPORT, NY 11731 · Prosthetic/Orthotic Supplier · NPI assigned 10/11/2006
| Authorized Official | KETCHAM, CLAIRE (OWNER) |
| NPI Enumeration Date | 10/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3002 | Foot, insert, removable, molded to patient model, plastazote or equal, each | 24 | 13 | $3K |