Organization
MUTUAL ORTHOPEDICS CO., INC
Active
Organization
MUTUAL ORTHOPEDICS CO., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MICHAEL TUFANO CP (OWNER)
(631) 265-4444
Entity
Organization
Contact information
Practice address
1767 VETERANS MEMORIAL HWY STE 42, ISLANDIA, NY 11749
(631) 265-4444
(631) 265-4580
Mailing address
1767 VETERANS HWY STE 42, ISLANDIA, NY 11749-1536
(631) 265-4444
(631) 265-4580
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00377151
—
NY
01
—
3400348
GROUP HEALTH INSURANCE
NY
01
—
G53421
EMPIRE HEALTH CHOICE
NY
Enumeration date
12/28/2005
Last updated
07/10/2018
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