Organization
ANDREW CARUCCI
Active
Other names
Walk Along Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CARUCCI (OWNER)
(315) 735-2971
Entity
Organization
Contact information
Practice address
1508 GENESEE ST, UTICA, NY 13502-5178
(315) 735-2971
(315) 735-2971
Mailing address
1600 DE PEYSTER AVE, UTICA, NY 13501-5210
(315) 735-2971
(315) 735-2971
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02137942
NY MEDICAID
NY
Enumeration date
08/30/2006
Last updated
08/22/2020
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