Mr. Jan Pedersen, BOCOORTHOTIST
Mr. Jan Pedersen, BOCOORTHOTIST is a Prosthetic/Orthotic Supplier in West Sand Lake, New York. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
23 Algonquin RdWest Sand Lake, NY 12196-2000
Phone: (518) 674-3361
Fax: (518) 674-8320
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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 number | 1386866234 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BOCOORTHOTIST |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2007 |
| Last updated in NPPES | April 24, 2008 |
Other providers in West Sand Lake
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Jan Pedersen
23 Algonquin Rd, West Sand Lake, NY 12196-2000 · (518) 674-3361