institution
Concourse Surgical Sport Supply, Inc.
Customized Equipment (DME) in New York, New York
NPI 1912910571

Concourse Surgical Sport Supply, Inc. is a Customized Equipment (DME) based in Orangeburg, NY and is specialized in Customized Equipment. Concourse Surgical Sport Supply, Inc. practices in New York, NY. The NPI Number for Concourse Surgical Sport Supply, Inc. is 1912910571 and holds a License No. (New York).

The current practice location address for Concourse Surgical Sport Supply, Inc. is 5049 Broadway, New York, NY and can be reached out via phone at 212-569-2635 and via fax at 212-569-2639. You can also correspond with Concourse Surgical Sport Supply, Inc. through the mailing address at 8 EDGEWOOD DR, ORANGEBURG, NY - 10962-1604 (mailing address contact number: 212-569-2635).

Location: 5049 Broadway, New York, NY, 10962-1604
institution
Provider Profile Details
NPI Number
1912910571
Provider Name
Concourse Surgical Sport Supply, Inc.
Credential
Provider Entity Type
Organization
Address
5049 Broadway, New York, NY, 10962-1604
Phone Number
212-569-2635
Fax Number
212-569-2639
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01785982 05 NY
institution
Provider Business Practice Location Address Details
Address
5049 Broadway
City
State
Zip
10034-1131
Phone Number
212-569-2635
Fax Number
212-569-2639
person
Provider Business Mailing Address Details
Address
8 Edgewood Dr
City
State
Zip
10962-1604
Phone Number
212-569-2635
Fax Number
212-569-2639
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
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Definition
Definition to come...
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