Organization
WILLIAMSBURG ORTHOTIC AND PROSTHETIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN AFFENITA (PRESIDENT)
(516) 680-0433
Entity
Organization
Contact information
Practice address
1608 AVENUE N, LUBBOCK, TX 79401-4944
(516) 680-0433
(877) 366-5492
Mailing address
227 GILLETTE AVE, BAYPORT, NY 11705-1881
(516) 680-0433
(877) 366-5492
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TX
Other
Enumeration date
01/03/2018
Last updated
04/02/2018
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