Provider Demographics
NPI:1922207901
Name:A-1 SURGICAL AND MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:A-1 SURGICAL AND MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED ORTHOTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:CORSENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-739-1392
Mailing Address - Street 1:30 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3123
Mailing Address - Country:US
Mailing Address - Phone:516-741-1087
Mailing Address - Fax:
Practice Address - Street 1:114 7TH ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5798
Practice Address - Country:US
Practice Address - Phone:516-739-1392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty