Organization
ENAT SURGICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NISANOV (PRESIDENT)
(718) 743-8300
Entity
Organization
Contact information
Practice address
1805 GRAVESEND NECK RD, BROOKLYN, NY 11229-4510
(718) 743-8300
Mailing address
1805 GRAVESEND NECK RD, BROOKLYN, NY 11229-4510
(718) 743-8300
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1351578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1351578
DEALER IN DEVICES FOR THE DISABLED
NY
Enumeration date
05/13/2010
Last updated
11/18/2010
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