Provider Demographics
NPI:1437498110
Name:HOME AID SURGICAL PRODUCTS
Entity Type:Organization
Organization Name:HOME AID SURGICAL PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIKETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-246-6305
Mailing Address - Street 1:315 FLATBUSH AVE
Mailing Address - Street 2:SUITE # 533
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2813
Mailing Address - Country:US
Mailing Address - Phone:240-246-6305
Mailing Address - Fax:347-763-1377
Practice Address - Street 1:315 FLATBUSH AVE
Practice Address - Street 2:SUITE # 533
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2813
Practice Address - Country:US
Practice Address - Phone:240-246-6305
Practice Address - Fax:347-763-1377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies