Organization · Type 2 NPI

The Shop @ WSPT

Customized Equipment (DME) · Bronx, NY

NPI number 1255617817 Active

Practice location

1250 Waters Pl, Suite 501
Bronx, NY 10461-2720

Fax (718) 409-0236

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200X6330420001 (NY)

Customized Equipment (DME): Definition to come...

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About NPI 1255617817

The Shop @ WSPT's National Provider Identifier is 1255617817, issued on Oct 27, 2011. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Bronx, NY. The record was last updated on Oct 27, 2011.