Organization
EAST COAST ORTHOTIC & PROSTHETIC CORP.
Active
Organization
EAST COAST ORTHOTIC & PROSTHETIC CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J BENENATI (PRESIDENT)
(631) 254-5550
Entity
Organization
Contact information
Practice address
75 BURT DR, DEER PARK, NY 11729-5701
(631) 254-5577
(631) 254-5550
Mailing address
PO BOX 662, DEER PARK, NY 11729-0662
(631) 254-5577
(631) 254-5550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042340
—
NJ
05
—
01749013
—
NY
Enumeration date
10/26/2006
Last updated
11/02/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up