| |
111 Main St, Nanuet, NY 10954-2884 | |
(888) 777-1430 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
Location | 111 Main St, Nanuet, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629774922 | NPI | - | NPPES |
07680188 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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74 Pascack Rd Ste 6, Park Ridge, NJ 07656-1942 Ph: (201) 571-0214 | 111 Main St, Nanuet, NY 10954-2884 Ph: (888) 777-1430 |