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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