National Provider Identifier
East Coast Orthotic & Prosthetic Corp
East Coast Orthotic & Prosthetic Corp is listed in the NPPES registry with a primary specialty of Prosthetic/Orthotic Supplier in Rochester, NY and a listed phone number of (585) 266-1333.
Profile Overview
- NPI
- 1861772782
- Provider Type
- Organization
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- August 23, 2011
- Last Updated
- August 21, 2019
Practice Location
- 1400 Portland Ave
- Suite 52
- Rochester, NY 14621-3014
Phone: (585) 266-1333
Mailing Address
- 75 Burt Dr
- Deer Park, NY 11729-5701
Specialties
- Prosthetic/Orthotic Supplier (335E00000X)
- Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
- NPI
- 1861772782
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- East Coast Orthotic & Prosthetic Corp
- Mailing Street Address
- 75 Burt Dr
- Mailing City
- Deer Park
- Mailing State
- NY
- Mailing ZIP Code
- 11729-5701
- Mailing Country
- US
- Mailing Phone
- (631) 254-5577
- Mailing Fax
- (631) 254-5550
- Practice Street Address
- 1400 Portland Ave
- Practice Address Line 2
- Suite 52
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3014
- Practice Country
- US
- Practice Phone
- (585) 266-1333
- Enumeration Date
- August 23, 2011
- Last Updated
- August 21, 2019
- Authorized Official Last Name
- Benenati
- Authorized Official First Name
- Lawrence
- Authorized Official Middle Name
- J.
- Authorized Official Title
- President
- Authorized Official Phone
- (631) 392-2229
- Organization Subpart
- Yes
- Parent Organization Name
- EAST COAST ORTHOTIC & PROSTHETIC CORP.
- Parent Organization TIN
- <UNAVAIL>
- Authorized Official Name Prefix Text
- Mr.
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Prosthetic/Orthotic Supplier (335E00000X), Durable Medical Equipment & Medical Supplies (332B00000X)
- Other Identifiers
- 01749013 (NY)