East Coast Orthotic & Prosthetic Corp..

Organization Active NPI Prosthetic/Orthotic Supplier · Palisades Park, NJ

NPI 1275911430 · NPPES record last updated May 24, 2016

Key facts

NPI
1275911430
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
Legal business name
EAST COAST ORTHOTIC & PROSTHETIC CORP..
Practice address
39 Broad Ave
Palisades Park, NJ 07650-1436
Phone
(201) 943-4448
Fax
(201) 941-1711
NPI assigned
May 8, 2015
Organization subpart
No

Authorized official

Name
Mr. Lawrence J. Benenati
Title
President
Phone
(631) 392-2228

National Provider Directory

Locations

39 Broad Ave
Palisades Pk, NJ 07650
Phone (201) 943-4448

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Yes

Addresses

Primary practice location

39 Broad Ave
Palisades Park, NJ 07650-1436

Mailing address

75 Burt Dr
Deer Park, NY 11729-5701
Phone (631) 254-5577

Other providers in Palisades Park, NJ

All providers in Palisades Park, NJ · Prosthetic/Orthotic Supplier in New Jersey

Sources for this page

Verify at the official NPI Registry.