Provider Demographics
NPI:1245387943
Name:VALMAR SURGICAL SUPPLIES INC
Entity Type:Organization
Organization Name:VALMAR SURGICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MEYER
Authorized Official - Middle Name:
Authorized Official - Last Name:GREISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-596-3070
Mailing Address - Street 1:1750 CEDARBRIDGE AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-6921
Mailing Address - Country:US
Mailing Address - Phone:516-596-3070
Mailing Address - Fax:516-596-3080
Practice Address - Street 1:1112 LOUSONS RD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5030
Practice Address - Country:US
Practice Address - Phone:516-596-3070
Practice Address - Fax:516-596-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01252097Medicaid
NY01252097Medicaid