Organization
ASTORIA SURGICAL SUPPLIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN B AVERICK (CONTROLLER)
(718) 436-3726
Entity
Organization
Contact information
Practice address
3104 60TH ST, WOODSIDE, NY 11377-1221
(718) 204-0816
(718) 274-8525
Mailing address
3104 60TH ST, WOODSIDE, NY 11377-1221
(718) 204-0816
(718) 274-8525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0934999
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01669718
—
NY
Enumeration date
08/18/2006
Last updated
10/18/2007
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