Organization
THE SHOP @ WSPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN TORRES (DIRECTOR OF OPERATIONS)
(718) 409-9444
Entity
Organization
Contact information
Practice address
1250 WATERS PL, SUITE 501, BRONX, NY 10461-2720
(718) 409-9444
(718) 409-0236
Mailing address
1250 WATERS PL, SUITE 501, BRONX, NY 10461-2720
(718) 409-9444
(718) 409-0236
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6330420001
NY
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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