Provider Demographics
NPI:1689729139
Name:DNT MEDICAL LLC COMFORT & HEALTH
Entity Type:Organization
Organization Name:DNT MEDICAL LLC COMFORT & HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-644-6511
Mailing Address - Street 1:PO BOX 4577
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904
Mailing Address - Country:US
Mailing Address - Phone:732-418-0888
Mailing Address - Fax:732-418-1717
Practice Address - Street 1:413 RARITAN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904
Practice Address - Country:US
Practice Address - Phone:732-418-0888
Practice Address - Fax:732-418-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1643335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8325308Medicaid
NJ8325308Medicaid