| |
290 E Main St Ste 400, Smithtown, NY 11787-2916 | |
(631) 761-6996 | |
(631) 761-6997 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
Location | 290 E Main St Ste 400, Smithtown, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447955356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2108 Joshuas Path, Hauppauge, NY 11788-4764 Ph: (631) 761-6996 | 290 E Main St Ste 400, Smithtown, NY 11787-2916 Ph: (631) 761-6996 |