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 J. BENENATI (PRESIDENT)
(631) 392-2228
Entity
Organization
Contact information
Practice address
503 E 163RD ST STE B, BRONX, NY 10451-4227
(718) 618-0246
(718) 618-0220
Mailing address
75 BURT DR, DEER PARK, NY 11729-5701
(631) 392-2229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
11/02/2018
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