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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