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 JOSEPH BENENATI (PRESIDENT)
(631) 254-5577
Entity
Organization
Contact information
Practice address
211 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5262
(845) 694-3585
(845) 262-1649
Mailing address
75 BURT DR, DEER PARK, NY 11729-5701
(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
Enumeration date
11/06/2014
Last updated
11/06/2014
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