Organization
M D FOOTWEAR CORPORATION
Active
Other names
The Rugged Boot
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J HIRSHAN (OWNER)
(631) 471-2668
Entity
Organization
Contact information
Practice address
2061 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3518
(631) 471-2668
(631) 471-4769
Mailing address
2061 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3518
(631) 471-2668
(631) 471-4769
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
02/19/2010
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