MEDICARE: NEW YORK 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy

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	:	1467444257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW YORK SURGICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	6114 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6114 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1009
Country	:	US
Telephone Number	:	718-884-7343
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	JONATHAN SHERMAN
Credential	:
Telephone Number	:	718-884-7343

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	09/11/2025

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