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Organization
SURGICAL SOCK SHOP II INC
Active
Organization
SURGICAL SOCK SHOP II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLIMA WEINGARTEN (OWNER)
(718) 436-7880
Entity
Organization
Contact information
Practice address
5818 13TH AVE, BROOKLYN, NY 11219-4906
(718) 436-7880
(718) 871-9451
Mailing address
5818 13TH AVE, BROOKLYN, NY 11219-4906
(718) 436-7880
(718) 871-9451
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000412358466
HEALTH PLUS
NY
05
—
01788976
—
NY
01
—
1000043682
AFFINITY HEALTH PLAN
NY
01
—
100198108501
UNITED NEW YORK MEDICAID
NY
01
—
A805786
OXFORD HEALTH PLAN
NY
01
—
ANC002202
AMERICHOICE OF NEW YORK
NY
01
—
G71512
EMPIRE BLUE CROSS
NY
01
—
N42380
HEALTHNET
NY
01
—
V00477099
UNITED HEALTHCARE
NY
Enumeration date
01/30/2007
Last updated
07/21/2022
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