Organization
A-1 SURGICAL AND MEDICAL SUPPLIES INC
Active
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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