MEDICARE: NEW UTRECHT SURGICAL SUPPLIES CORP

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	0816621	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	:	1811925514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW UTRECHT SURGICAL SUPPLIES CORP

Provider Business Mailing Address
First Line	:	4624 NEW UTRECHT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2557
Country	:	US
Telephone Number	:	718-436-3726
Fax Number	:	718-436-3857

Provider Business Practice Location Address
First Line	:	4624 NEW UTRECHT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2557
Country	:	US
Telephone Number	:	718-436-3726
Fax Number	:	718-436-3857

Authorized Official
Title or Position	:	OWNER/COO
Name	:	MRS. DVORA HIRSCHEY
Credential	:
Telephone Number	:	718-436-3726

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	06/22/2022

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Directions to “NEW UTRECHT SURGICAL SUPPLIES CORP ” Practice Location

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