Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bidiana Extensions LLC

Organization Prosthetic/Orthotic Supplier · NPI 1396435731

Bidiana Extensions LLC is a Prosthetic/Orthotic Supplier in Staten Island, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1324 Forest Ave Ste 104
Staten Island, NY 10302-2044
Phone: (718) 419-7399
Fax: (631) 256-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1396435731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abidemi Omoyefa — Ceo · (718) 419-7399
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 9, 2023
Certification dateApril 29, 2023
Mailing address1324 Forest Ave Ste 104, Staten Island, NY 10302-2044

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