Provider Demographics
NPI:1245601707
Name:FIBER FOOT APPLIANCES, INC.
Entity Type:Organization
Organization Name:FIBER FOOT APPLIANCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-451-1719
Mailing Address - Street 1:34 SARAH DR STE A
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-1218
Mailing Address - Country:US
Mailing Address - Phone:631-465-9199
Mailing Address - Fax:631-465-9196
Practice Address - Street 1:34 SARAH DR STE A
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-1218
Practice Address - Country:US
Practice Address - Phone:631-465-9199
Practice Address - Fax:631-465-9196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier