Healthcare Provider Details

I. General information

NPI: 1780746511
Provider Name (Legal Business Name): BIO-MECHANICAL TECHNOLOGIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 10/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 W CHAUCER LN
FARMINGDALE NJ
07727-4344
US

IV. Provider business mailing address

5 W CHAUCER LN
FARMINGDALE NJ
07727-4344
US

V. Phone/Fax

Practice location:
  • Phone: 732-208-7695
  • Fax: 732-577-9062
Mailing address:
  • Phone: 732-208-7695
  • Fax: 732-577-9062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. MORRIS SHERAK
Title or Position: PRESIDENT
Credential:
Phone: 732-208-7695