Organization
EAST COAST ORTHOTIC & PROSTHETIC CORP..
Active
Parent organization
EAST COAST ORTHOTIC & PROSTHETIC CORP..
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST COAST ORTHOTIC & PROSTHETIC CORP..
Authorized official
MR. LAWRENCE J. BENENATI (PRESIDENT)
(631) 392-2228
Entity
Organization
Contact information
Practice address
1100 BEDFORD ST, SUITE 280, STAMFORD, CT 06905-5305
(203) 504-8903
(203) 504-8905
Mailing address
75 BURT DR, DEER PARK, NY 11729-5701
(631) 254-5577
(631) 254-5550
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
11/02/2018
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