Organization
STEP AHEAD SHOE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN FREDRICK KIRST CERT. PED. (VICE PRESIDENT)
(716) 651-4646
Entity
Organization
Contact information
Practice address
6338 TRANSIT RD, DEPEW, NY 14043-1031
(716) 651-4646
(716) 651-4664
Mailing address
6338 TRANSIT RD, DEPEW, NY 14043-1031
(716) 651-4646
(716) 651-4664
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02196298
—
NY
Enumeration date
04/19/2007
Last updated
08/22/2020
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