Organization
LA CHARME LLC
Active
Other names
GALAFORM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TATYANA A COELLO (CEO)
(347) 623-5031
Entity
Organization
Contact information
Practice address
58 RAILROAD AVE, STATEN ISLAND, NY 10305-4733
(800) 708-9312
(718) 923-0351
Mailing address
58 RAILROAD AVE, STATEN ISLAND, NY 10305-4733
(800) 708-9312
(718) 923-0351
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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