Astoria Surgical Supplies Corp

Organization Active NPI Durable Medical Equipment & Medical Supplies · Woodside, NY

NPI 1841304698 · NPPES record last updated Oct 18, 2007

Key facts

NPI
1841304698
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
0934999 (NY)
Legal business name
ASTORIA SURGICAL SUPPLIES CORP
Practice address
3104 60TH St
Woodside, NY 11377-1221
Phone
(718) 204-0816
Fax
(718) 274-8525
NPI assigned
Aug 18, 2006
Organization subpart
No

Authorized official

Name
Mr. Benjamin B Averick
Title
Controller
Phone
(718) 436-3726

National Provider Directory

Locations

3104 60th St
Woodside, NY 11377
Phone (718) 204-0816

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0934999 NY Yes

Addresses

Primary practice location

3104 60TH St
Woodside, NY 11377-1221

Mailing address

3104 60TH St
Woodside, NY 11377-1221
Phone (718) 204-0816

Other identifiers

IdentifierTypeStateIssuer
01669718MedicaidNY

Other providers in Woodside, NY

All providers in Woodside, NY · Durable Medical Equipment & Medical Supplies in New York

Sources for this page

Verify at the official NPI Registry.