GREAT SOUTH BAY BRACING LLC (NPI# 1750678033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750678033 |
| Entity Type | Organization |
| Organization Name | GREAT SOUTH BAY BRACING LLC |
| Practice Address |
32 Walnut Ave Patchogue NY 11772-2621 |
| Practice Telephone | 6317144770 |
| Mailing Telephone | 6317144770 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | DONNAMARIE OTTO (OWNER) |
| Authorized Official Telephone | 6317144770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
32 WALNUT AVE |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164074373 | Orthopedic Assoc of Long Island Physicians & Medical Group Pllc | Durable Medical Equipment & Medical Supplies | 55 Medford Ave Unit E, Patchogue, NY 11772-1229 | 2019-07-09 |
| 1316047764 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 397 Sunrise Highway, Patchogue, NY 11772-1901 | 2006-09-25 |
| 1700183373 | South Shore Neurologic Associates, PC | Durable Medical Equipment & Medical Supplies | 77 Medford Avenue, Route 112, Patchogue, NY 11772 | 2011-02-17 |
| 1285949289 | Richard Daniel Marotto Jr | Durable Medical Equipment & Medical Supplies | 1 E Roe Blvd, Patchogue, NY 11772-2631 | 2010-08-13 |
| 1366762411 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 286 W Main St, Patchogue, NY 11772-3008 | 2010-06-10 |
| 1871738427 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 470 W Main St, Patchogue, NY 11772-3025 | 2008-12-11 |
| 1205096690 | Dr Richard Marotto | Durable Medical Equipment & Medical Supplies | 1 E Roe Blvd, Patchogue, NY 11772-2631 | 2008-06-10 |
| 1083898761 | Neal P Houslanger Dpm | Durable Medical Equipment & Medical Supplies | 440 Waverly Ave Ste 3, Patchogue, NY 11772-1597 | 2007-12-18 |
| 1386727253 | Blum's Corset Shop of Patchogue Inc. | Durable Medical Equipment & Medical Supplies | 27 E Main St, Patchogue, NY 11772-3101 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871161 | Martor Case Management LLC | Durable Medical Equipment & Medical Supplies | 400 Jordan Rd, Troy, NY 12180-8378 | 2020-11-02 |
| 1639770258 | Orthowellness, Inc | Durable Medical Equipment & Medical Supplies | 771 Hempstead Tpke, Elmont, NY 11003-2439 | 2020-11-02 |
| 1992305809 | Heal It Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 266 Jericho Tpke Ste 111, Floral Park, NY 11001-2170 | 2020-10-29 |
| 1770182537 | Ortho-aid Inc | Durable Medical Equipment & Medical Supplies | 20526 Linden Blvd, Saint Albans, NY 11412-2926 | 2020-10-22 |
| 1376142257 | On Hand Medical Inc | Durable Medical Equipment & Medical Supplies | 740 Myrtle Ave, Brooklyn, NY 11205-3953 | 2020-10-21 |
| 1063011260 | Bella Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 52 S Stone Ave, Elmsford, NY 10523-3607 | 2020-10-20 |
| 1720687023 | 82nd Corner LLC | Durable Medical Equipment & Medical Supplies | 461 Columbus Ave, New York, NY 10024-5107 | 2020-10-19 |
| 1497353221 | Ozone Park Supply Inc | Durable Medical Equipment & Medical Supplies | 9718 101st Ave, Ozone Park, NY 11416-2561 | 2020-10-14 |
| 1710585559 | Quality Med Equp Inc | Durable Medical Equipment & Medical Supplies | 18742a Hillside Ave, Jamaica, NY 11432-3217 | 2020-10-14 |
| 1770181901 | Ave U Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1306 Avenue U, Brooklyn, NY 11229-3306 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.