Organization
MANE THEORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEATA A WILLIAMS (OWNER)
(347) 573-1617
Entity
Organization
Contact information
Practice address
2104 CROSS BRONX EXPY APT 4C, BRONX, NY 10472-5245
(347) 573-1617
Mailing address
1451 WEST AVE STE 7018, BRONX, NY 10462-7304
(347) 573-1617
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
01
—
NA
NA
—
Enumeration date
05/06/2020
Last updated
09/01/2022
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