Organization
EAST COAST ORTHOTIC & PROSTHETIC CORP
Active
Organization
EAST COAST ORTHOTIC & PROSTHETIC CORP
Active
Parent organization
EAST COAST ORTHOTIC & PROSTHETIC CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST COAST ORTHOTIC & PROSTHETIC CORP
Authorized official
MR. LAWRENCE J. BENENATI (PRESIDENT)
(631) 392-2228
Entity
Organization
Contact information
Practice address
19 BRADHURST AVE, SUITE 500N, HAWTHORNE, NY 10532-2140
(914) 347-2220
(914) 347-2480
Mailing address
75 BURT DR, DEER PARK, NY 11729-5701
(631) 254-5577
(631) 254-5550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01749013
—
NY
Enumeration date
07/08/2009
Last updated
11/02/2018
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