Organization Name: | NEWBRIDGE SURGICAL SUPPLIES, INC. |
NPI Number: | 1104070036 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT KALTRIDER (PRESIDENT) |
Mailing Address: | 1385 Lakeland Ave Bohemia |
State: | NY US |
Postal Code: | 117163305 |
Phone Number: | 5163494520 |
Fax Number: | 5163494549 |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |