Organization
SPRINGFIELD SURGICAL SUPPLY, INC.
Active
Organization
SPRINGFIELD SURGICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHATEL STEWART (OWNER)
(718) 528-7301
Entity
Organization
Contact information
Practice address
12715 MERRICK BLVD, JAMAICA, NY 11434-3421
(718) 528-7301
(718) 528-7399
Mailing address
12715 MERRICK BLVD, JAMAICA, NY 11434-3421
(718) 528-7301
(718) 528-7399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1249907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02982736
—
NY
Enumeration date
08/18/2011
Last updated
08/18/2011
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