Healthcare Provider Details

I. General information

NPI: 1598920159
Provider Name (Legal Business Name): CFO RETAIL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 08/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BACKUS AVE
DANBURY CT
06810-7422
US

IV. Provider business mailing address

520 8TH AVE
NEW YORK NY
10018-6507
US

V. Phone/Fax

Practice location:
  • Phone: 203-790-1341
  • Fax: 203-790-5052
Mailing address:
  • Phone: 212-729-5373
  • Fax: 212-967-5927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. DARLEEN CETTINA
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 212-729-5373