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Organization
IMPERIAL SURGICAL SUPPLY CORP.
Active
Organization
IMPERIAL SURGICAL SUPPLY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MARK EDELSON (GENERAL MANAGER)
(516) 482-9110
Entity
Organization
Contact information
Practice address
7 NORTHERN BLVD, GREAT NECK, NY 11021-4044
(516) 482-9110
(516) 482-9113
Mailing address
7 NORTHERN BLVD, GREAT NECK, NY 11021-4044
(516) 482-9110
(516) 482-9113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00322394
—
NY
Enumeration date
08/31/2006
Last updated
03/19/2012
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