Organization
EXPRESS SHOE AND LEATHER REPAIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EFIM TEPER (PRESIDENT)
(516) 569-5696
Entity
Organization
Contact information
Practice address
298 CENTRAL AVE, LAWRENCE, NY 11559-1606
(516) 569-5696
Mailing address
298 CENTRAL AVE, LAWRENCE, NY 11559-1606
(516) 569-5696
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
08/20/2009
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