Bay Orthopedic and Rehabilitation Supply Company, Inc
Organization Active NPI Prosthetic/Orthotic Supplier · Plainview, NY
NPI 1104049428 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1104049428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- BAY ORTHOPEDIC AND REHABILITATION SUPPLY COMPANY, INC
- Practice address
- 651 Old Country Rd
Plainview, NY 11803-4938 - Phone
- (516) 333-7200
- Fax
- (516) 333-7277
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Mangino, C.P.O., C.PED.
- Title
- Owner/President
- Phone
- (631) 271-0825
Practitioners 3
-
Bradley Wayne Anthony, BOCPO
-
Bradley Dean Smith, C.O.
-
Harry Watnik, C.O.
National Provider Directory
Locations
616 E Jericho Tpke
Huntington Station, NY 11746
Phone (631) 271-0825
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NY | Yes |
Addresses
Primary practice location
651 Old Country Rd
Plainview, NY 11803-4938
Mailing address
PO Box 890
Plainview, NY 11803-4938
Phone (516) 333-7200
Other practice location 1
651 Old Country Rd Ste B
Plainview, NY 11803-4938
Phone (516) 333-7200
Other practice location 2
813-A Carman Avenue
Westbury, NY 11590
Phone (516) 333-7200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01014144 | Medicaid | NY |
Other providers in Plainview, NY
- Michelle Anne Battaglia-Capogna
- Melissa Sue Bauer
- Jeffrey A Bauman
- Laurie Michelle Baumann
- Kathleen Grace Baxter
- Christine Jill Beard
- Janet L Beccaro
- Elizabeth Anne Becchinelli
- Stuart Behrens
- Karthik Rao Bekal
All providers in Plainview, NY · Prosthetic/Orthotic Supplier in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.