Jack Aizenstein, CO
in New York, NY. Individual provider (NPI-1).
NPI number1770023806
StatusActive
Last updated in NPPESMar 8, 2017
Details
- NPI
- 1770023806
- Entity type
- Individual (NPI-1)
- Name
- Jack Aizenstein
- Credential
- CO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2017
- Last updated
- Mar 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | – | – | Yes | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
155 E 55th St207
New York, NY 10022-4038
Phone 212-888-7372 · Fax 212-888-1551
Mailing address
155 E 55th St207
New York, NY 10022-4038
Phone 212-888-7372 · Fax 212-888-1551
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