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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 BD CO CERTIFIED ORTH (PRESIDENT OWNER)
(516) 741-1087
Entity
Organization

Contact information

Practice address
30 EAST JEFFERSON AVENUE, MINEOLA, NY 11501-3123
(516) 741-1087
Mailing address
30 EAST JEFFERSON AVENUE, MINEOLA, NY 11501-3123
(516) 741-1087

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00923693
NY
01
040401000676
FIDELIS CARE
01
1000017730
AFFINITY HEALTH PLAN
NY
01
4881406
AETNA
NY
01
544385
AETNA
NY
01
AZ00236
MDNY
01
G71521
EMPIRE BCBS
01
G71561
EMPIRE BCBS
01
G71562
EMPIRE BCBS
01
G71571
EMPIRE BCBS
01
G71572
EMPIRE BCBS
01
G71573
EMPIRE BCBS
Enumeration date
11/22/2006
Last updated
06/16/2008
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