Organization
MIDWAY PEDORTHICS & MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRISPIN BARRIE ADAMS CPED (PRESIDENT)
(347) 427-7608
Entity
Organization
Contact information
Practice address
1248 E 223RD ST, SUITE 1, BRONX, NY 10466-5802
(347) 427-7608
(347) 346-4351
Mailing address
1248 E 223RD ST, SUITE 1, BRONX, NY 10466-5802
(347) 427-7608
(347) 346-4351
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CPED3554
DE
Other
Enumeration date
01/10/2012
Last updated
05/29/2012
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