SAMPSON'S PROSTHETIC LABORATORY INC (NPI# 1790990315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790990315 |
| Entity Type | Organization |
| Organization Name | SAMPSON'S PROSTHETIC LABORATORY INC |
| Other Organization Name | SAMPSONS PROSTHETIC AND ORTHOTIC LABORATORY |
| Practice Address |
17 Main Street Queensbury NY 12804 |
| Mailing Address |
1737 State St Schenectady NY 12304-1832 |
| Practice Telephone | 5183746011 |
| Practice Fax Number | 5183933292 |
| Mailing Telephone | 5183746011 |
| Mailing Fax Number | 5183933292 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | MR. WILLIAM J SAMPSON (PRESIDENT) |
| Authorized Official Telephone | 5183746011 |
| Authorized Official Credential | CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03003427 | 05 |
| Other Name | Type Code |
|---|---|
| Sampsons Prosthetic and Orthotic Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568678936 | Sampson's Prosthetic Laboratory Inc | Prosthetic/Orthotic Supplier | 5010 State Highway 30 Ste 104, Amsterdam, NY 12010-7532 | 2007-05-15 |
| 1770799116 | Sampson's Prosthetic Laboratory Inc | Prosthetic/Orthotic Supplier | 290 Church St, Saratoga Springs, NY 12866-8600 | 2007-05-15 |
| 1235345612 | Sampson's Prosthetic Laboratory Inc | Prosthetic/Orthotic Supplier | 400 Patroon Creek Blvd, Suite 106, Albany, NY 12206-5013 | 2007-05-15 |
| Street Address |
17 MAIN STREET |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796545 | Ffh Concepts LLC | Prosthetic/Orthotic Supplier | 545 Saw Mill River Rd Ste 1a, Ardsley, NY 10502-2159 | 2020-03-27 |
| 1417584046 | Alta Vista Inc. | Prosthetic/Orthotic Supplier | 420 Madison Ave Fl 2, New York, NY 10017-1195 | 2020-03-24 |
| 1114554904 | Britica Management Group Inc | Prosthetic/Orthotic Supplier | 40 Gardenville Pkwy Ste 200, West Seneca, NY 14224-1399 | 2020-03-24 |
| 1992332837 | Genesis II Hair Replacement Studio | Prosthetic/Orthotic Supplier | 405 E Taft Rd, North Syracuse, NY 13212-3734 | 2020-03-23 |
| 1548895113 | East Coast Orthotic & Prosthetic Corp. | Prosthetic/Orthotic Supplier | 326 2nd Ave, New York, NY 10003-2732 | 2020-03-04 |
| 1154964955 | Northern Orthopedic Laboratory Inc. | Prosthetic/Orthotic Supplier | 6604 State Highway 56 Apt 6, Potsdam, NY 13676-3546 | 2019-10-24 |
| 1285275354 | Chanta Mabry | Prosthetic/Orthotic Supplier | 1787 Fulton St, Brooklyn, NY 11233-3029 | 2019-09-30 |
| 1659921716 | Millenium Medical Products, Inc | Prosthetic/Orthotic Supplier | 204 19 12th Ave, Rockaway Point, NY 11697-1120 | 2019-09-19 |
| 1700435278 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 200 Old Country Rd Ste 590a, Mineola, NY 11501-4235 | 2019-09-08 |
| 1265081731 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1393 Veterans Memorial Hwy Ste 112n, Hauppauge, NY 11788-3066 | 2019-09-08 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on SAMPSON'S PROSTHETIC LABORATORY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.