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NPI Code Detail

MEDICARE: ABSOLUTE MEDICAL & SURGICAL SUPPLIES INC.

MEDICARE: ABSOLUTE MEDICAL & SURGICAL SUPPLIES 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
1332B00000XDurable Medical Equipment & Medical Supplies1291911NY

General Provider Information

NPI Number : 1356593560
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABSOLUTE MEDICAL & SURGICAL SUPPLIES INC.
Provider Business Mailing Address
First Line : 6110 20TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3086
Country : US
Telephone Number : 718-837-4700
Fax Number : 347-312-4528
Provider Business Practice Location Address
First Line : 6110 20TH AVE
Second Line : STO
City : BROOKLYN
State : NY
Zip : 11204-3086
Country : US
Telephone Number : 718-837-4700
Fax Number : 347-312-4528
Authorized Official
Title or Position : PRESIDENT
Name : MR. DEVI TSITSOUACHVILI
Credential :
Telephone Number : 718-837-4700
Provider Enumeration Date : 10/21/2008
Last Update Date : 04/25/2011

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