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Organization

BENNETT SURGICAL SUPPLY INC

Active
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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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