Organization
STATEWIDE MEDICAL AND SURGICAL SUPPLIES INC.
Active
Organization
STATEWIDE MEDICAL AND SURGICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MERCEDES DESORMEAUX (C.E.O)
(718) 257-8810
Entity
Organization
Contact information
Practice address
9602 AVENUE L, BROOKLYN, NY 11236-4813
(718) 257-8810
(718) 257-8806
Mailing address
9602 AVENUE L, BROOKLYN, NY 11236-4808
(718) 257-8810
(718) 257-8806
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1118484
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02291367
—
NY
Enumeration date
01/30/2007
Last updated
12/07/2007
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