Downstate Surgical & Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DOWNSTATE SURGICAL & MEDICAL SUPPLY INC

Practice address

10504 Flatlands Ave Unit 2
Brooklyn, NY 11236-2908

Phone

(347) 318-3372

Fax

(347) 318-3373

NPI assigned

Jul 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maxine Mulgrave

Title

Ceo

Phone

(347) 318-3372

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1457734451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 FLATLANDS AVE UNIT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362908",
            "telephone_number": "347-318-3372",
            "fax_number": "347-318-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 FLATLANDS AVE UNIT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362908",
            "telephone_number": "347-318-3372",
            "fax_number": "347-318-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNSTATE SURGICAL & MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "MULGRAVE",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-318-3372"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.