Organization
FLORAL SHOES
Active
Other names
d.moss shoes
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY MILLER ALTKIN C-PED (PRESIDENT)
(516) 354-7402
Entity
Organization
Contact information
Practice address
188 JERICHO TPKE, FLORAL PARK, NY 11001-2024
(516) 354-7402
Mailing address
188 JERICHO TPKE, FLORAL PARK, NY 11001-2024
(516) 354-7402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02560272
—
NY
Enumeration date
01/26/2007
Last updated
07/21/2022
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