Provider Demographics
NPI:1275868440
Name:A-Z ORTHOPEDIC SHOES INC
Entity Type:Organization
Organization Name:A-Z ORTHOPEDIC SHOES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED THERAPEUTIC SHOE FITTER
Authorized Official - Prefix:
Authorized Official - First Name:NATELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-962-0162
Mailing Address - Street 1:6259 108TH ST APT 7H
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1314
Mailing Address - Country:US
Mailing Address - Phone:347-962-0162
Mailing Address - Fax:
Practice Address - Street 1:11525 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1001
Practice Address - Country:US
Practice Address - Phone:347-962-0162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6397490001Medicare NSC