SHOE PRO CORP NPI 1386660751

NPI Information

  • NPI: 1386660751
  • Provider Name: SHOE PRO CORP
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: TRI STATE ORTHOPEDIC FOOTWEAR CENTER
  • Address: 14431 41ST AVE
    SUITE # L6
    FLUSHING, NY
    ZIP 11355
  • Phone: (718) 359-3348

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NPI Details

SHOE PRO CORP is a prosthetic orthotic supplier in Flushing, NY. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. SHOE PRO CORP NPI is 1386660751. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri State Orthopedic Footwear Center.

The provider's business location address is:

14431 41ST AVE
SUITE # L6
FLUSHING, NY
ZIP 11355-459
Phone: (718) 359-3348
Fax: (718) 359-0388

The provider's authorized official is Hong J Lee .
The authorized official title is President and has the following contact phone number (718) 359-3348.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 5/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic Supplier3105NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102620120MEDICAIDNEW YORK
25144290001MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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