Organization Name: | COMFORT SHOES AND SUPPLIES, INC |
NPI Number: | 1801035233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YANA DIMITROVICH (GENERAL MANAGER) |
Mailing Address: | 659 Anderson Ave Cliffside Park |
State: | NJ US |
Postal Code: | 070101927 |
Phone Number: | 2019430340 |
Fax Number: | 2019430347 |
NPI Enumeration Date: | 02/09/2009 |
NPI Last Update Date: | 01/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | CFTS0148 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |