Organization
N.Y.C. SURGICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN MONTESINOS CABAN (CEO)
(516) 589-2464
Entity
Organization
Contact information
Practice address
120 ELGAR PL, 14J, BRONX, NY 10475-5103
(718) 671-9588
Mailing address
120 ELGAR PL, 14J, BRONX, NY 10475-5103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
110981
NY
Other
Enumeration date
02/07/2010
Last updated
02/07/2010
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