Provider Demographics
NPI:1821166034
Name:HOME CARE SURGICAL SUPPLIES, INC
Entity Type:Organization
Organization Name:HOME CARE SURGICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GITLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-345-2323
Mailing Address - Street 1:66 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-6705
Mailing Address - Country:US
Mailing Address - Phone:718-345-2323
Mailing Address - Fax:718-345-2221
Practice Address - Street 1:66 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-6705
Practice Address - Country:US
Practice Address - Phone:718-345-2323
Practice Address - Fax:718-345-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0254970002Medicare ID - Type Unspecified