M. H. Mandelbaum Orthotic & Prosthetic Services, Inc.

LBN: M. H. Mandelbaum Orthotic & Prosthetic Services, Inc.
M. H. Mandelbaum Orthotic & Prosthetic Services, Inc. is an health care organization with primary practice located at 3 Medical Dr Ste C , Port Jefferson Station NY 11776-1597. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. M. H. Mandelbaum Orthotic & Prosthetic Services, Inc. can be contacted via phone (631) 473-8668, or through Heifetz, Solomon via phone (631) 473-8668.

Contact Information

Primary practice address
3 Medical Dr Ste C Port Jefferson Station NY 11776-1597
Phone: (631) 473-8668
Fax: (631) 473-8691
Website:
Map and Directions
Authorized official contact:
Name: Heifetz, Solomon
Phone: (631) 473-8668

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1356346068
LBN Legal business name M. H. Mandelbaum Orthotic & Prosthetic Services, Inc.
DBA Doing business as
Authorized official Heifetz, Solomon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356346068 NPPES
New York MEDICAID 00810646

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