Organization
CROSLEY MEDICAL PRODUCTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY KORNBERG OTR (PRESIDENT)
(631) 595-2547
Entity
Organization
Contact information
Practice address
60 S 2ND ST, STE E, DEER PARK, NY 11729-4717
(631) 595-2547
(631) 595-1732
Mailing address
19 KATHLEEN DR EAST, SYOSSET, NY 11791-5808
(631) 595-2547
(631) 595-1732
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00935259
—
NY
Enumeration date
11/03/2006
Last updated
11/02/2007
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