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Organization

A-1 SURGICAL AND MEDICAL SUPPLIES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY P CORSENTINO BOARD CERTIFIED ORTH (PRESIDENT/ORTHOTIST)
(516) 292-4105
Entity
Organization

Contact information

Practice address
54 MAIN ST, HEMPSTEAD, NY 11550-4051
(516) 292-4105
Mailing address
30 E JEFFERSON AVE, MINEOLA, NY 11501-3123
(516) 741-1087
(516) 873-7904

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
222Z00000X
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02917357
NY
Enumeration date
07/02/2007
Last updated
04/22/2009
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