Provider Demographics
NPI:1487663829
Name:CLINICAL PROMOTIONAL MARKETING
Entity Type:Organization
Organization Name:CLINICAL PROMOTIONAL MARKETING
Other - Org Name:SOLE DIMENSIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES. CERTIFIED ORTHOTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:516-621-0379
Mailing Address - Street 1:14 GLEN COVE RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1732
Mailing Address - Country:US
Mailing Address - Phone:516-621-7653
Mailing Address - Fax:516-801-2112
Practice Address - Street 1:14 GLEN COVE RD
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1732
Practice Address - Country:US
Practice Address - Phone:516-621-7653
Practice Address - Fax:516-801-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5588840001Medicare NSC