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Mammoth Optical
Durable Medical Equipment & Medical Supplies in Stony Brook, New York
NPI 1487705018

Mammoth Optical is a Durable Medical Equipment & Medical Supplies based in Stony Brook, NY. Mammoth Optical practices in Stony Brook, NY. The NPI Number for Mammoth Optical is 1487705018 and holds a License No. 6197 (New York).

The current practice location address for Mammoth Optical is 2194 Nesconset Hwy Ste A, Stony Brook, NY and can be reached out via phone at 631-246-5468 and via fax at 631-246-5442.

Location: 2194 Nesconset Hwy Ste A, Stony Brook, NY, 11790-3500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487705018
Provider Name
Mammoth Optical
Credential
Provider Entity Type
Organization
Address
2194 Nesconset Hwy Ste A, Stony Brook, NY, 11790-3500
Phone Number
631-246-5468
Fax Number
631-246-5442
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01679698 05 NY
institution
Provider Business Practice Location Address Details
Address
2194 Nesconset Hwy Ste A
City
Stony Brook
State
New York
Zip
11790-3500
Phone Number
631-246-5468
Fax Number
631-246-5442
person
Provider Business Mailing Address Details
Address
2194 Nesconset Hwy Ste A
City
Stony Brook
State
New York
Zip
11790-3500
Phone Number
631-246-5468
Fax Number
631-246-5442
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
6197 (New York)
Definition
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.
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