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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