Provider Demographics
NPI:1760875868
Name:SURGICAL RECOVERY SOLUTIONS ,LLC
Entity Type:Organization
Organization Name:SURGICAL RECOVERY SOLUTIONS ,LLC
Other - Org Name:SRS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RECKO-TULLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-918-8933
Mailing Address - Street 1:257 SOUND BEACH AVE
Mailing Address - Street 2:
Mailing Address - City:OLD GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06870-1449
Mailing Address - Country:US
Mailing Address - Phone:203-918-8933
Mailing Address - Fax:866-202-9300
Practice Address - Street 1:257 SOUND BEACH AVE
Practice Address - Street 2:
Practice Address - City:OLD GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06870-1607
Practice Address - Country:US
Practice Address - Phone:203-918-8933
Practice Address - Fax:866-202-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies