Provider Demographics
NPI:1538487350
Name:KENMAR SURGICAL AIDS, INC.
Entity Type:Organization
Organization Name:KENMAR SURGICAL AIDS, INC.
Other - Org Name:BROOKLYN RESPIRATORY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-331-7769
Mailing Address - Street 1:7903 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1662
Mailing Address - Country:US
Mailing Address - Phone:718-331-7769
Mailing Address - Fax:718-331-3499
Practice Address - Street 1:7903 17TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1662
Practice Address - Country:US
Practice Address - Phone:718-331-7769
Practice Address - Fax:718-331-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1296815332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies