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Organization
DESIGNER COMFORT SHOES CENTER INC.
Active
Organization
DESIGNER COMFORT SHOES CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISA SIMKHAEV PA (PEDORTHIST)
(917) 704-9264
Entity
Organization
Contact information
Practice address
1669 PITKIN AVENUE, BROOKLYN, NY 11212
(718) 498-3501
Mailing address
1669 PITKIN AVENUE, BROOKLYN, NY 11212
(718) 498-3501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PENDING
NY
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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