Organization
BAY ORTHOPEDIC AND REHABILITATION SUPPLY CO INC
Active
Organization
BAY ORTHOPEDIC AND REHABILITATION SUPPLY CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MANGINO CPO CPED (PRESIDENT)
(631) 271-0825
Entity
Organization
Contact information
Practice address
616 JERICHO TPKE, HUNTINGTON STATION, NY 11746-7317
(631) 271-0825
(631) 271-1363
Mailing address
616 JERICHO TPKE, HUNTINGTON STATION, NY 11746-7317
(631) 271-0825
(631) 271-1363
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01014144
—
NY
Enumeration date
11/14/2005
Last updated
12/19/2014
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