Individual
JACK AIZENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
155 E 55TH ST, 207, NEW YORK, NY 10022-4038
(212) 888-7372
(212) 888-1551
Mailing address
155 E 55TH ST, 207, NEW YORK, NY 10022-4038
(212) 888-7372
(212) 888-1551
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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