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NPI 1861547051

NPI 1861547051 : CHARLES PFEIFFER INC. : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1861547051
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHARLES PFEIFFER INC. 
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Dates
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    Enumeration Date     |    01/25/2007
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    Last Update Date     |    08/09/2018
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Provider Practice Location Address
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    Address Line         |    511 JEWETT AVE 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10302
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    Country              |    US
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    Telephone            |    718-447-6629
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    Fax                  |    718-273-4024
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Provider Business Mailing Address
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    Address Line         |    511 JEWETT AVE 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10302-2615
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    Country              |    US
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    Telephone            |    718-447-6629
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    Fax                  |    718-273-4024
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ED  SALLEY 
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    Credential           |    
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    Telephone            |    718-447-6629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    0763244
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    0763244
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    License Number State |    NY
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