Organization
LONG ISLAND COMFORT SHOES AND PEDORTHIC SERVICES
Active
Organization
LONG ISLAND COMFORT SHOES AND PEDORTHIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP JOSEPH CELESTINO C. PED. (CERTIFIED PEDORTHIST)
(631) 476-9717
Entity
Organization
Contact information
Practice address
403 E MAIN ST, PORT JEFFERSON, NY 11777-1843
(631) 476-9717
(631) 476-9718
Mailing address
403 E MAIN ST, PORT JEFFERSON, NY 11777-1843
(631) 476-9717
(631) 476-9718
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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