Organization
WALK RIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BASIL FARID CPED (OWNER)
(718) 948-6353
Entity
Organization
Contact information
Practice address
300 SHIRLEY AVE, STATEN ISLAND, NY 10312-5455
(718) 948-6353
(718) 948-6257
Mailing address
300 SHIRLEY AVE, STATEN ISLAND, NY 10312-5455
(718) 948-6353
(718) 948-6257
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01549480
—
NY
Enumeration date
11/04/2011
Last updated
11/04/2011
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