Organization
WB NEUFELD ORTHOPEDIC SHOE CLINIC INC
Active
Organization
WB NEUFELD ORTHOPEDIC SHOE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F LEIBMAN C PED (SECRETARY)
(718) 847-8000
Entity
Organization
Contact information
Practice address
90 03 JAMAICA AVE, WOODHAVEN, NY 11421
(718) 847-8000
(718) 846-1122
Mailing address
90 03 JAMAICA AVE, WOODHAVEN, NY 11421
(718) 847-8000
(718) 846-1122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0784060
NY
335E00000X
Prosthetic/Orthotic Supplier
0784060
NY
Other
Enumeration date
11/16/2006
Last updated
12/17/2007
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