Provider Demographics
NPI:1245358225
Name:CFO RETAIL, INC.
Entity type:Organization
Organization Name:CFO RETAIL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CETTINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-729-5373
Mailing Address - Street 1:520 8TH AVE
Mailing Address - Street 2:SUITE 901
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6507
Mailing Address - Country:US
Mailing Address - Phone:212-729-5373
Mailing Address - Fax:212-967-5927
Practice Address - Street 1:MARKETPLACE MALL
Practice Address - Street 2:340 MIRACLE MILE DRIVE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623
Practice Address - Country:US
Practice Address - Phone:585-475-0250
Practice Address - Fax:585-475-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
20-811938OtherTAX ID#