Healthcare Provider Details

I. General information

NPI: 1568497071
Provider Name (Legal Business Name): WE FIT WELL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3557 E TREMONT AVE
BRONX NY
10465-2017
US

IV. Provider business mailing address

3557 E TREMONT AVE
BRONX NY
10465-2017
US

V. Phone/Fax

Practice location:
  • Phone: 718-828-5007
  • Fax: 718-828-5541
Mailing address:
  • Phone: 718-828-5007
  • Fax: 718-828-5541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. ANGEL B QUISHPE
Title or Position: PRESIDENT
Credential:
Phone: 718-828-5007