Organization
AB SURGICAL SUPPLY CO., INC.
Active
Organization
AB SURGICAL SUPPLY CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS HENRY BOUSCHE CO (CERTIFIED ORTHOTIST)
(914) 664-9322
Entity
Organization
Contact information
Practice address
238 W LINCOLN AVE, MOUNT VERNON, NY 10550-1243
(914) 664-9322
Mailing address
238 W LINCOLN AVE, MOUNT VERNON, NY 10550-1243
(914) 664-9322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
03/20/2009
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