Organization
MODERN REHABILITATION TECHNOLOGIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M SCHWING CPO (OWNER)
(631) 360-6400
Entity
Organization
Contact information
Practice address
1180 LINCOLN AVENUE, UNIT 4, HOLBROOK, NY 11741
(631) 360-6400
(631) 360-6449
Mailing address
1180 LINCOLN AVENUE, UNIT 4, HOLBROOK, NY 11741
(631) 360-6400
(631) 360-6449
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02192501
—
NY
Enumeration date
12/26/2007
Last updated
12/13/2013
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