OrganizationActive
Diversified Orthotics
NPI 1649444100 · Customized Equipment (DME) · Bronx, NY
Provider details
- NPI number
- 1649444100
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Louis Rose, Orthotist(718) 409-6280
Specialties & taxonomies
Suppliers
Suppliers
Practice location
3146 E Tremont Ave
Bronx, NY 10461-5706
Phone: (718) 409-6280
Fax: (718) 409-4110
Approximate (ZIP-level) locationGet directions
Mailing address
3146 E Tremont Ave
Bronx, NY 10461-5706
Additional practice locations (1)
- 3058 E Tremont AveBronx, NY 10461-5726Phone: (718) 409-6280Fax: (718) 409-4110
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2021-10-07
- Certified
- 2021-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.