Great South Bay Bracing LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREAT SOUTH BAY BRACING LLC

Practice address

32 Walnut Ave
Patchogue, NY 11772-2621

Phone

(631) 714-4770

NPI assigned

Jul 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donnamarie Otto

Title

Owner

Phone

(631) 714-4770

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1750678033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WALNUT AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722621",
            "telephone_number": "631-714-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WALNUT AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722621",
            "telephone_number": "631-714-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SOUTH BAY BRACING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "DONNAMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-714-4770"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Mroz NP in Psychiatry PLLC
• Frank J Granati, DDS
• Cynthia Marie Graney, LAC, LMT
• Lisa Karen Gray
• Michele Graziano F. Graziano, CASAC
• Great South Bay Chiropractic Office
• Lindsey T Green, NP
• Stephen H Green, MD
• Danielle Marie Greenan
• Eric Fabian Greif, D.O.

• Durable Medical Equipment & Medical Supplies in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.