Provider First Line Business Practice Location Address:
516 MINEOLA AVE
Provider Second Line Business Practice Location Address:
PROGRESSIVE ORTHOTICS & PROSTHETICS
Provider Business Practice Location Address City Name:
CARLE PLACE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-338-8585
Provider Business Practice Location Address Fax Number:
516-338-7575
Provider Enumeration Date:
02/20/2009