Provider Demographics
NPI:1700303989
Name:VALMAR SURGICAL SUPPLIES INC
Entity Type:Organization
Organization Name:VALMAR SURGICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZICHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-596-3070
Mailing Address - Street 1:1771 MADISON AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1251
Mailing Address - Country:US
Mailing Address - Phone:516-596-3070
Mailing Address - Fax:
Practice Address - Street 1:625 E FORDHAM RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5049
Practice Address - Country:US
Practice Address - Phone:516-596-3070
Practice Address - Fax:516-596-3080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALMAR SURGICAL SUPPLIES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-28
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1344798-DCA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1252097Medicaid