MEDICARE: MUTUAL ORTHOPEDICS CO., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851599443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUTUAL ORTHOPEDICS CO., INC.

Provider Business Mailing Address
First Line	:	1767 VETERANS HWY STE 42
Second Line	:
City	:	ISLANDIA
State	:	NY
Zip	:	11749-1536
Country	:	US
Telephone Number	:	631-265-4444
Fax Number	:	631-265-4580

Provider Business Practice Location Address
First Line	:	702 8TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215
Country	:	US
Telephone Number	:	718-499-4535
Fax Number	:	718-499-5230

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANTHONY MICHEAL TUFANO
Credential	:	C.P.
Telephone Number	:	631-265-4444

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	07/10/2018

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Directions to “MUTUAL ORTHOPEDICS CO., INC. ” Practice Location

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