Organization
BAY ORTHOPEDIC AND REHABILITATION SUPPLY CO INC
Active
Organization
BAY ORTHOPEDIC AND REHABILITATION SUPPLY CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MANGINO CPO, LPO. CPED (OWNER)
(631) 271-0825
Entity
Organization
Contact information
Practice address
60 FLEETS POINT DRIVE, SUITE 3, WEST BABYLON, NY 11704
(631) 321-5000
(631) 321-5004
Mailing address
616 EAST JERICHO TURNPIKE, HUNTINGTON STATION, NY 11746
(631) 271-0825
(631) 271-1363
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01014144
—
NY
Enumeration date
04/11/2007
Last updated
10/12/2022
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