Concourse Surgical Sport Supply, Inc.

LBN: Concourse Surgical Sport Supply, Inc.
Concourse Surgical Sport Supply, Inc. is an health care organization with primary practice located at 5049 Broadway , New York NY 10034-1131. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Concourse Surgical Sport Supply, Inc. can be contacted via phone (212) 569-2635, or through Pena, Nidia via phone (212) 569-2635.

Contact Information

Primary practice address
5049 Broadway New York NY 10034-1131
Phone: (212) 569-2635
Fax: (212) 569-2639
Website:
Map and Directions
Authorized official contact:
Name: Pena, Nidia
Phone: (212) 569-2635

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1912910571
LBN Legal business name Concourse Surgical Sport Supply, Inc.
DBA Doing business as
Authorized official Pena, Nidia
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Oct 5th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912910571 NPPES
New York MEDICAID 01785982

Popular Providers