Mammoth Optical
NPI #1487705018 in Stony Brook, New York
Provider Information
- NPI Number
- 1487705018
- Entity Type
- Organization
- Organization Name
- Mammoth Optical
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2194 NESCONSET HWY STE A
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-3500
- Phone
- (631) 246-5468
Authorized Official
- Name
- MR. ANDREW NEIL POLAN
- Title
- PRESITDENT
- Phone
- (631) 246-5468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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