Organization
CHARLES PFEIFFER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED SALLEY (PRESIDENT)
(718) 447-6629
Entity
Organization
Contact information
Practice address
511 JEWETT AVE, STATEN ISLAND, NY 10302
(718) 447-6629
(718) 273-4024
Mailing address
511 JEWETT AVE, STATEN ISLAND, NY 10302-2615
(718) 447-6629
(718) 273-4024
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0763244
NY
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
335E00000X
Prosthetic/Orthotic Supplier
0763244
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00320618
—
NY
01
—
3400252
G.H.I.
NY
01
—
96363
AETNA
NY
01
—
G69511
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
01/25/2007
Last updated
08/09/2018
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