Organization
NEW ENGLAND ORTHOTIC AND PROSTHETIC SYSTEMS, LLC
Active
Organization
NEW ENGLAND ORTHOTIC AND PROSTHETIC SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD MANGANIELLO (MEMBER)
(203) 483-8488
Entity
Organization
Contact information
Practice address
800 NORTHERN BLVD, SUITE 3B, GREAT NECK, NY 11021-5314
(516) 829-6188
(516) 829-1488
Mailing address
22 SUMMIT PL, UNIT 101A, BRANFORD, CT 06405-4111
(203) 483-8488
(203) 483-6085
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
03/23/2012
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