Provider Demographics
NPI:1982842829
Name:SHOE FITTING INC
Entity Type:Organization
Organization Name:SHOE FITTING INC
Other - Org Name:FRANK'S CUSTOM SHOE-FITTING, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANNINO
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:845-692-9225
Mailing Address - Street 1:741 ROUTE 211 E
Mailing Address - Street 2:P.O. BOX 4543
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1449
Mailing Address - Country:US
Mailing Address - Phone:845-692-9225
Mailing Address - Fax:845-692-9225
Practice Address - Street 1:741 ROUTE 211 E
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1449
Practice Address - Country:US
Practice Address - Phone:845-692-9225
Practice Address - Fax:845-692-9225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2011-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10829335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6084470001Medicare NSC