| NPI | 1558519389 |
|---|---|
| Doing Business As | SHOE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | PETER SONG President 718-539-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |