- Practice location
- 5049 Broadway, New York, NY 10034-1131
- Phone
- 212-569-2635
- Fax
- 212-569-2639
- Last updated
- October 5, 2020
Concourse Surgical Sport Supply, INC. is a healthcare organization based in New York, NY. Concourse Surgical Sport Supply, INC. practices in New York, NY. The NPI Number for Concourse Surgical Sport Supply, INC. is 1912910571. The current practice location address for Concourse Surgical Sport Supply, INC. is 5049 Broadway, New York, NY 10034-1131 and can be reached out via phone at 212-569-2635 and via fax at 212-569-2639.
Provider Profile Details
- NPI Number
- 1912910571
- Provider Name
- Concourse Surgical Sport Supply, INC.
- Provider Entity Type
- Organization
- Address
- 5049 Broadway, New York, NY 10034-1131
- Phone Number
- 212-569-2635
- Fax Number
- 212-569-2639
- Primary Taxonomy
- Durable Medical Equipment & Medical Supplies, Customized Equipment · 332BC3200X
- Organization Subpart
- No
- Authorized Official
- Nidia Pena · Manager · 212-569-2635
- Provider Enumeration Date
- August 14, 2006
- Last Update Date
- October 5, 2020
- Certification Date
- October 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5049 Broadway
New York, NY 10034-1131 - City
- New York
- State
- New York
- Zip
- 10034-1131
- Phone Number
- 212-569-2635
- Fax Number
- 212-569-2639
Provider Business Mailing Address Details
- Address
- 8 Edgewood Dr
Orangeburg, NY 10962-1604 - City
- Orangeburg
- State
- NY
- Zip
- 10962-1604
- Phone Number
- 212-569-2635
- Fax Number
- 212-569-2639
License Information
- Taxonomy
- Durable Medical Equipment & Medical Supplies, Customized Equipment · 332BC3200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Concourse Surgical Sport Supply, INC.?
The NPI number of Concourse Surgical Sport Supply, INC. is 1912910571. It was assigned on August 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Concourse Surgical Sport Supply, INC.?
Concourse Surgical Sport Supply, INC. is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies, Customized Equipment (code 332BC3200X).
Where does Concourse Surgical Sport Supply, INC. practice?
The practice location is 5049 Broadway, New York, NY 10034-1131. The office can be reached at 212-569-2635 (phone) or 212-569-2639 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912910571 directly on the NPPES registry website.