Healthcare Provider Details

I. General information

NPI: 1760875868
Provider Name (Legal Business Name): SURGICAL RECOVERY SOLUTIONS ,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2015
Last Update Date: 12/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 SOUND BEACH AVE
OLD GREENWICH CT
06870-1607
US

IV. Provider business mailing address

257 SOUND BEACH AVE
OLD GREENWICH CT
06870-1449
US

V. Phone/Fax

Practice location:
  • Phone: 203-918-8933
  • Fax: 866-202-9300
Mailing address:
  • Phone: 203-918-8933
  • Fax: 866-202-9300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateCT

VIII. Authorized Official

Name: ANIA RECKO-TULLY
Title or Position: OWNER
Credential:
Phone: 203-918-8933