Organization
MONACK MEDICAL SUPPLY, INC
Active
Organization
MONACK MEDICAL SUPPLY, INC
Active
Other names
OMNI ORTHOTICS AND PROSTHETICS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETER AFFENITA (PRESIDENT)
(888) 343-6664
Entity
Organization
Contact information
Practice address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(888) 343-6664
Mailing address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(888) 343-6664
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
4192 C21614
NY
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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