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Organization

LONG ISLAND ORTHOTICS AND PROSTHETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARC E WERNER C.P.O. (OWNER/CPO)
(631) 482-1650
Entity
Organization

Contact information

Practice address
4551 SUNRISE HWY STE 1, BOHEMIA, NY 11716-4637
(631) 482-1650
(631) 482-1651
Mailing address
4551 SUNRISE HWY STE 1, BOHEMIA, NY 11716-4637
(631) 482-1650
(631) 482-1651

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
08/20/2009
Last updated
12/02/2021
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