Organization
RE NU SHOE REPAIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN BELLANTONI (OWNER)
(845) 791-4201
Entity
Organization
Contact information
Practice address
366 BROADWAY, MONTICELLO, NY 12701
(845) 791-4201
(845) 791-4201
Mailing address
366 BROADWAY, MONTICELLO, NY 12701
(845) 791-4201
(845) 791-4201
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NY
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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