MEDICARE: A & O SURGICAL SUPPLY CO, 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		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	:	1952487621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & O SURGICAL SUPPLY CO, INC

Provider Business Mailing Address
First Line	:	266 E GUN HILL RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-2107
Country	:	US
Telephone Number	:	718-654-1882
Fax Number	:	718-231-4458

Provider Business Practice Location Address
First Line	:	266 E GUN HILL RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-2107
Country	:	US
Telephone Number	:	718-654-1882
Fax Number	:	718-231-4458

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DENNIS O'BRIEN
Credential	:
Telephone Number	:	718-654-1882

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	04/19/2012

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