Organization
COMFORT SHOES AND SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YANA DIMITROVICH CFO, CFT (GENERAL MANAGER)
(201) 943-0340
Entity
Organization
Contact information
Practice address
659 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1927
(201) 943-0340
(201) 943-0347
Mailing address
659 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1927
(201) 943-0340
(201) 943-0347
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CFO03082
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
CFTS0148
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60085923
HORIZON NJ HEALTH
NJ
Enumeration date
02/09/2009
Last updated
01/04/2012
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