Organization
ORTHO-AID CUSTOM MOLDED SHOES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATALIA DOCHIM C.PED., CFO. (PRESIDENT)
(718) 858-5880
Entity
Organization
Contact information
Practice address
331 HENRY ST, BROOKLYN, NY 11201-5527
(718) 858-5880
(718) 858-5890
Mailing address
331 HENRY ST, BROOKLYN, NY 11201-5527
(718) 858-5880
(718) 858-5890
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02245141
—
NY
Enumeration date
11/16/2006
Last updated
08/06/2012
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