Organization
BAY ORTHOPEDIC AND REHABILITATION SUPPLY COMPANY, INC
Active
Organization
BAY ORTHOPEDIC AND REHABILITATION SUPPLY COMPANY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MANGINO C.P.O., C.PED. (OWNER/PRESIDENT)
(631) 271-0825
Entity
Organization
Contact information
Practice address
651 OLD COUNTRY RD, PLAINVIEW, NY 11803-4938
(516) 333-7200
(516) 333-7277
Mailing address
PO BOX 890, PLAINVIEW, NY 11803-4938
(516) 333-7200
(516) 333-7277
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01014144
—
NY
Enumeration date
04/11/2007
Last updated
03/03/2021
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