| NPI | 1437389764 |
|---|---|
| Former Legal Business Name | B&G FOOT CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LINA KVASNITSKA President 718-509-6709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2021-07-09 |