NPI 1053087064

Pegasus Dme INC

Organisation Prosthetic/Orthotic Supplier Bohemia, NY

Practice location

Address: 80 Orville Dr STE 100, Bohemia, NY 11716-2505
Phone: (516) 680-0433
Fax: (877) 366-5492
Mailing address: 227 Gillette Ave, Bayport, NY 11705-1881

Authorised official

Name: John Affenita
Title: Ao
Phone: (516) 680-0433

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1053087064
Entity type: Organization
NPI issued: 19 Aug 2021
Record last updated: 19 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.