Organization
PARK SURGICAL CO.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DUBE (SECRETARY)
(718) 436-9200
Entity
Organization
Contact information
Practice address
5001 NEW UTRECHT AVE, BROOKLYN, NY 11219-3547
(718) 436-9200
(718) 854-2431
Mailing address
5001 NEW UTRECHT AVE, BROOKLYN, NY 11219-3547
(718) 436-9200
(718) 854-2431
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00323184
—
NY
Enumeration date
10/18/2006
Last updated
08/22/2020
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