NPI 1104808716

Pro-Thotics Technology INC

Organisation Prosthetic/Orthotic Supplier East Patchogue, NY

Practice location

Address: 285 Sills Rd Building 3 Suite D, East Patchogue, NY 11772-4869
Phone: (631) 569-5562
Fax: (631) 569-5565

Authorised official

Name: John P Affenita
Title: President
Phone: (631) 569-5562

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1104808716
Entity type: Organization
NPI issued: 18 Nov 2005
Record last updated: 22 Sep 2011

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.