CENTRAL AVENUE MEDICAL & SURGICAL SUPPLY INC. NPI 1366461584

NPI Information

  • NPI: 1366461584
  • Provider Name: CENTRAL AVENUE MEDICAL & SURGICAL SUPPLY, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 339 CENTRAL AVE
    LAWRENCE, NY
    ZIP 11559
  • Phone: (516) 374-4401

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NPI Details

CENTRAL AVENUE MEDICAL & SURGICAL SUPPLY, INC. is a durable medical equipment medical supplies in Lawrence, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CENTRAL AVENUE MEDICAL & SURGICAL SUPPLY, INC. NPI is 1366461584. The provider is registered as an organization entity type.

The provider's business location address is:

339 CENTRAL AVE
LAWRENCE, NY
ZIP 11559-605
Phone: (516) 374-4401
Fax: (516) 374-3142

The provider's authorized official is Henya Wieder .
The authorized official title is President and has the following contact phone number (516) 374-4401.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies5670410001NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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