Healthcare Provider Details

I. General information

NPI: 1578597621
Provider Name (Legal Business Name): 2 RIGHT FEET INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7961 JERICHO TPKE
WOODBURY NY
11797-1210
US

IV. Provider business mailing address

7961 JERICHO TPKE
WOODBURY NY
11797-1210
US

V. Phone/Fax

Practice location:
  • Phone: 516-677-5110
  • Fax:
Mailing address:
  • Phone: 516-677-5110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE CHRISTOPHER BLUMENBERG JR.
Title or Position: PRESIDENT
Credential:
Phone: 516-677-5110