M D Footwear Corporation
NPI #1891704235 in Centereach, New York
Provider Information
- NPI Number
- 1891704235
- Entity Type
- Organization
- Organization Name
- M D Footwear Corporation
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Aug 5, 2006
- Last Updated
- Feb 19, 2010
Practice Location
- Address
- 2061 MIDDLE COUNTRY RD
- City
- Centereach
- State
- New York
- ZIP Code
- 11720-3518
- Phone
- (631) 471-2668
Authorized Official
- Name
- MARK J HIRSHAN
- Title
- OWNER
- Phone
- (631) 471-2668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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