Organization
FIVE COUNTY SURGICAL SUPPLY CO. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYNN SARACINO (OWNER)
(718) 382-4784
Entity
Organization
Contact information
Practice address
1311 AVENUE U, BROOKLYN, NY 11229-3305
(718) 382-4784
(718) 998-2637
Mailing address
1311 AVENUE U, BROOKLYN, NY 11229-3305
(718) 382-4784
(718) 998-2637
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1134298
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01056591
—
NY
01
—
E52141
BLUE CROSS & BLUE SHIELD
NY
Enumeration date
07/19/2005
Last updated
08/08/2007
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