Organization
COMFORT YOUR SOLE, INC
Active
Organization
COMFORT YOUR SOLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MI K KIM C.PED (OWNER)
(631) 242-4000
Entity
Organization
Contact information
Practice address
546 COMMACK RD, DEER PARK, NY 11729-3804
(631) 242-4000
(631) 242-4007
Mailing address
546 COMMACK RD, DEER PARK, NY 11729-3804
(631) 242-4000
(631) 242-4007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C.PED0428
NY
Other
Enumeration date
06/27/2013
Last updated
06/08/2015
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