Organization
BENNETT SURGICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIA E DONNELLY RN (PRESIDENT)
(631) 421-1771
Entity
Organization
Contact information
Practice address
382 NEW YORK AVENUE, HUNTINGTON, NY 11743
(631) 421-1771
(631) 421-9861
Mailing address
382 NEW YORK AVENUE, HUNTINGTON, NY 11743
(631) 421-1771
(631) 421-9861
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
335E00000X
Prosthetic/Orthotic Supplier
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00323542
—
NY
Enumeration date
03/29/2006
Last updated
07/21/2022
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