Provider Demographics
NPI:1962486258
Name:THE SATUS GROUP LLC
Entity Type:Organization
Organization Name:THE SATUS GROUP LLC
Other - Org Name:M & M PROSTHETIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSERO
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:845-339-4775
Mailing Address - Street 1:2 EDGEWATER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2107
Mailing Address - Country:US
Mailing Address - Phone:845-339-4775
Mailing Address - Fax:845-339-4793
Practice Address - Street 1:103 HURLEY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2829
Practice Address - Country:US
Practice Address - Phone:845-339-4775
Practice Address - Fax:845-339-4793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02379413Medicaid
NY02379413Medicaid