MEDICARE: SOULIER SHOES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1710509021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOULIER SHOES INC

Provider Business Mailing Address
First Line	:	4601 13TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2631
Country	:	US
Telephone Number	:	718-337-8633
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 13TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2631
Country	:	US
Telephone Number	:	718-337-8633
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARON NEUSTADT
Credential	:
Telephone Number	:	718-337-8633

Provider Enumeration Date	:	05/08/2020
Last Update Date	:	01/15/2026

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Directions to “SOULIER SHOES INC ” Practice Location

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