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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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