Organization
EAST COAST ORTHOTIC & PROSTHETIC CORP..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J. BENENATI (PRESIDENT)
(631) 392-2228
Entity
Organization
Contact information
Practice address
39 BROAD AVE, PALISADES PARK, NJ 07650-1436
(201) 943-4448
(201) 941-1711
Mailing address
75 BURT DR, DEER PARK, NY 11729-5701
(631) 254-5577
(631) 254-5550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/24/2016
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