Provider Demographics
NPI:1063657674
Name:ABSOLUTE WOUND SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ABSOLUTE WOUND SOLUTIONS, INC.
Other - Org Name:A-1 DIABETIC SUPPLY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHOENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-375-9800
Mailing Address - Street 1:1795 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6557
Mailing Address - Country:US
Mailing Address - Phone:718-375-9800
Mailing Address - Fax:718-375-9801
Practice Address - Street 1:1795 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6557
Practice Address - Country:US
Practice Address - Phone:718-375-9800
Practice Address - Fax:718-375-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6226050001Medicare NSC