Organization
M. H. MANDELBAUM ORTHOTIC & PROSTHETIC SERVICES, INC.
Active
Organization
M. H. MANDELBAUM ORTHOTIC & PROSTHETIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON HEIFETZ (PRACTICE MANAGER)
(631) 473-8668
Entity
Organization
Contact information
Practice address
3 MEDICAL DR STE C, PORT JEFFERSON STATION, NY 11776-1597
(631) 473-8668
(631) 473-8691
Mailing address
3 MEDICAL DR STE C, PORT JEFFERSON STATION, NY 11776-1597
(631) 473-8668
(631) 473-8691
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00810646
—
NY
Enumeration date
06/17/2005
Last updated
07/28/2022
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