Organization · Type 2 NPI

Re Nu Shoe Repair Inc

Customized Equipment (DME) · Monticello, NY

NPI number 1790949899 Active

Practice location

366 Broadway
Monticello, NY 12701

Fax (845) 791-4201

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

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

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About NPI 1790949899

Re Nu Shoe Repair Inc's National Provider Identifier is 1790949899, issued on Jul 17, 2008. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Monticello, NY. The record was last updated on Jul 17, 2008.