Organization
SUMMER RIVER INC COMPLETE MEDICAL
Active
Other names
Complete Medical Products
Organization subpart
No
Provider details
NPI number
Authorized official
ED FLANAGAN (OWNER)
(917) 363-3460
Entity
Organization
Contact information
Practice address
90-09 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-1531
(718) 945-9119
(718) 945-6034
Mailing address
20419 12TH AVE, ROCKAWAY POINT, NY 11697-1120
(718) 945-9119
(718) 945-6034
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206175300
DOL
—
Enumeration date
04/06/2007
Last updated
04/18/2017
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