Organization · Type 2 NPI
Concourse Surgical Sport Supply, Inc.
Customized Equipment (DME) · New York, NY
NPI number
1912910571
Active
Practice location
5049 Broadway
New York, NY 10034-1131
Fax (212) 569-2639
Mailing address
8 Edgewood Dr
Orangeburg, NY 10962-1604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
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About NPI 1912910571
Concourse Surgical Sport Supply, Inc.'s National Provider Identifier is 1912910571, issued on Aug 14, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in New York, NY. The record was last updated on Oct 5, 2020.