Provider Demographics
NPI:1700351582
Name:SURGICAL SOCK SHOP II INC
Entity Type:Organization
Organization Name:SURGICAL SOCK SHOP II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CERTIFIED FITTER
Authorized Official - Prefix:
Authorized Official - First Name:BLIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINGARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-436-7880
Mailing Address - Street 1:5818 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4906
Mailing Address - Country:US
Mailing Address - Phone:877-330-5900
Mailing Address - Fax:718-871-9451
Practice Address - Street 1:1476 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2202
Practice Address - Country:US
Practice Address - Phone:212-224-9550
Practice Address - Fax:212-224-9560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment