MEDICARE: HP MEDICAL AND SURGICAL SUPPLY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	0666080	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285632703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HP MEDICAL AND SURGICAL SUPPLY INC.

Provider Business Mailing Address
First Line	:	1673 ROUTE 9 STE 7
Second Line	:
City	:	HALFMOON
State	:	NY
Zip	:	12065-4401
Country	:	US
Telephone Number	:	518-373-0202
Fax Number	:	518-373-0218

Provider Business Practice Location Address
First Line	:	1673 ROUTE 9 STE 7
Second Line	:
City	:	HALFMOON
State	:	NY
Zip	:	12065-4401
Country	:	US
Telephone Number	:	518-373-0202
Fax Number	:	518-373-0218

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	JANET A PATRIZIO
Credential	:
Telephone Number	:	518-373-0202

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/03/2024

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