NPI 1053846253

Monack Medical Supply, INC

Organisation Prosthetic/Orthotic Supplier Brooklyn, NY

Practice location

Address: 1651 Coney Island Ave, Brooklyn, NY 11230-5849
Phone: (888) 343-6664

Authorised official

Name: John Peter Affenita
Title: President
Phone: (888) 343-6664

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 4192 C21614 (NY)

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Registry record

NPI: 1053846253
Entity type: Organization
NPI issued: 25 Apr 2017
Record last updated: 25 Apr 2017

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.