# EAST COAST ORTHOTIC & PROSTHETIC CORP..

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAST COAST ORTHOTIC & PROSTHETIC CORP..
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417304080
- **Legal business name:** EAST COAST ORTHOTIC & PROSTHETIC CORP..
- **Authorized official:** MR. LAWRENCE J. BENENATI (PRESIDENT)
- **Authorized official phone:** (631) 392-2228

## Contact information

- **Practice address:** 1100 BEDFORD ST, SUITE 280, STAMFORD, CT 06905-5305
- **Practice address phone:** (203) 504-8903
- **Practice address fax:** (203) 504-8905
- **Mailing address:** 75 BURT DR, DEER PARK, NY 11729-5701
- **Mailing address phone:** (631) 254-5577
- **Mailing address fax:** (631) 254-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2016
- **Last updated:** 11/02/2018