Individual provider · Type 1 NPI
Pamela Bane, PEDORTHIST
Prosthetic/Orthotic Supplier · Syracuse, NY
Practice location
216 W Genesee St
Syracuse, NY 13202-1038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | None listed |
| Customized Equipment (DME) | 332BC3200X | None listed |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1144594755
Pamela Bane, PEDORTHIST's National Provider Identifier is 1144594755, issued on Feb 29, 2012. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Syracuse, NY. The record was last updated on Feb 29, 2012.