Organization
RESTORE USA, INC.
Active
Organization
RESTORE USA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH FREER (OWNER)
(718) 860-4637
Entity
Organization
Contact information
Practice address
4626 NEW UTRECHT AVE, BROOKLYN, NY 11219-2553
(718) 860-4637
(718) 434-1617
Mailing address
338A E 7TH ST APT A, BROOKLYN, NY 11218-4106
(917) 685-8171
(718) 434-1617
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02812031
—
NY
Enumeration date
12/06/2006
Last updated
10/19/2019
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