Organization
PRO-THOTICS TECHNOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P AFFENITA (PRESIDENT)
(631) 569-5562
Entity
Organization
Contact information
Practice address
285 SILLS RD, BUILDING 3 SUITE D, EAST PATCHOGUE, NY 11772-4869
(631) 569-5562
(631) 569-5565
Mailing address
285 SILLS RD, BUILDING 3 SUITE D, EAST PATCHOGUE, NY 11772-4869
(631) 569-5562
(631) 569-5565
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02631941
—
NY
Enumeration date
11/18/2005
Last updated
09/22/2011
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