A-1 Surgical and Medical Supplies Inc
Organization Active NPI Orthotist · Mineola, NY
NPI 1487729620 · NPPES record last updated Jun 16, 2008
Key facts
- NPI
- 1487729620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthotist 222Z00000X
- Legal business name
- A-1 SURGICAL AND MEDICAL SUPPLIES INC
- Practice address
- 30 East Jefferson Avenue
Mineola, NY 11501-3123 - Phone
- (516) 741-1087
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony P Corsentino, BD CO CERTIFIED ORTH
- Title
- President Owner
- Phone
- (516) 741-1087
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist |
222Z00000X | Yes |
Addresses
Primary practice location
30 East Jefferson Avenue
Mineola, NY 11501-3123
Mailing address
30 East Jefferson Avenue
Mineola, NY 11501-3123
Phone (516) 741-1087
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ00236 | Other | MDNY | |
| G71561 | Other | EMPIRE BCBS | |
| G71572 | Other | EMPIRE BCBS | |
| 040401000676 | Other | FIDELIS CARE | |
| G71571 | Other | EMPIRE BCBS | |
| 00923693 | Medicaid | NY | |
| G71521 | Other | EMPIRE BCBS | |
| G71562 | Other | EMPIRE BCBS | |
| 1000017730 | Other | NY | AFFINITY HEALTH PLAN |
| 544385 | Other | NY | AETNA |
| 4881406 | Other | NY | AETNA |
| G71573 | Other | EMPIRE BCBS |
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.