Organization
BREAKS N BRACES, INC.
Active
Organization
BREAKS N BRACES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LEONOVICH (PRESIDENT)
(631) 223-4070
Entity
Organization
Contact information
Practice address
395 N SERVICE RD STE 310, MELVILLE, NY 11747-3143
(631) 223-4070
(631) 963-3900
Mailing address
395 N SERVICE RD STE 310, MELVILLE, NY 11747-3143
(631) 223-4070
(631) 963-3900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100152039
NEW YORK STATE VENDOR ID
NY
01
—
2095698-DCA
NYC DEPARTMENT OF CONSUMER AFFAIRS
NY
Enumeration date
03/30/2016
Last updated
07/27/2020
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