Organization
SPRINGFIELD SURGICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATEL STEWART OWNER (OWNER)
(718) 528-7301
Entity
Organization
Contact information
Practice address
127 -15 MERRICK BLVD, SPRINGFIELD GARDENS, NY 11434-3421
(718) 528-7301
(718) 528-7399
Mailing address
127 15 MERRICK BLVD, SPRINGFIELD GARDENS, NY 11434-3421
(718) 528-7301
(718) 528-7399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02982736
—
NY
Enumeration date
12/28/2006
Last updated
11/17/2011
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