Organization
WONDERFUL SHOES INC.
Active
Other names
Shoe Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER SONG (PRESIDENT)
(718) 539-3400
Entity
Organization
Contact information
Practice address
4532 162ND ST, FLUSHING, NY 11358-3158
(718) 539-3400
Mailing address
4532 162ND ST, FLUSHING, NY 11358-3158
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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