Shoe Store, LLC
NPI #1669814406 in Honeoye Falls, New York
Provider Information
- NPI Number
- 1669814406
- Entity Type
- Organization
- Organization Name
- Shoe Store, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 22, 2013
- Last Updated
- Jul 22, 2013
Practice Location
- Address
- 12 N MAIN ST
- City
- Honeoye Falls
- State
- New York
- ZIP Code
- 14472-1071
- Phone
- (180) 091-3746
Authorized Official
- Name
- MR. DARAN BEDENBAUGH
- Title
- ACCOUNTING MANAGER
- Phone
- (352) 538-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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