institution
Main St Footcare, Pllc
Customized Equipment (DME) in Bronx, New York
NPI 1144492141

Main St Footcare, Pllc is a Customized Equipment (DME) based in Bronx, NY and is specialized in Customized Equipment. Main St Footcare, Pllc practices in Bronx, NY. The NPI Number for Main St Footcare, Pllc is 1144492141 and holds a License No. N005978 (New York).

The current practice location address for Main St Footcare, Pllc is 820 Lydig Ave, Bronx, NY and can be reached out via phone at 718-792-5900 and via fax at 718-931-9324.

Location: 820 Lydig Ave, Bronx, NY, 10462-2106
institution
Provider Profile Details
NPI Number
1144492141
Provider Name
Main St Footcare, Pllc
Credential
Provider Entity Type
Organization
Address
820 Lydig Ave, Bronx, NY, 10462-2106
Phone Number
718-792-5900
Fax Number
718-931-9324
Provider Enumeration Date
03/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144492141 01 NY DMERC
institution
Provider Business Practice Location Address Details
Address
820 Lydig Ave
City
State
Zip
10462-2106
Phone Number
718-792-5900
Fax Number
718-931-9324
person
Provider Business Mailing Address Details
Address
820 Lydig Ave
City
State
Zip
10462-2106
Phone Number
718-792-5900
Fax Number
718-931-9324
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
N005978 (New York)
Definition
Definition to come...
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