GREAT SOUTH BAY BRACING LLC

PATCHOGUE, NY
NPI1750678033
Entity TypeOrganization
Authorized ContactDONNAMARIE OTTO
Owner
631-714-4770
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2011-07-07
Last Update Date2011-07-07
Business Address
GREAT SOUTH BAY BRACING LLC
32 WALNUT AVE
PATCHOGUE, NY 11772-2621
Phone number: 631-714-4770
Mailing Address
GREAT SOUTH BAY BRACING LLC
32 WALNUT AVE
PATCHOGUE, NY 11772-2621
Phone number: 631-714-4770