Provider Demographics
NPI:1700089505
Name:FITTING PRETTY
Entity Type:Organization
Organization Name:FITTING PRETTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-546-9401
Mailing Address - Street 1:1733 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-4829
Mailing Address - Country:US
Mailing Address - Phone:516-546-9401
Mailing Address - Fax:516-379-9482
Practice Address - Street 1:1733 JOHN ST
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-4829
Practice Address - Country:US
Practice Address - Phone:516-546-9401
Practice Address - Fax:516-379-9482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01957657Medicaid
NY0301840001Medicare NSC
NY01957657Medicaid