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
326 2ND AVE, NEW YORK, NY 10003-2732
(347) 389-1755
(631) 918-5776
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
03/04/2020
Last updated
03/04/2021
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