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SUMMER RIVER INC COMPLETE MEDICAL NPI 1437271681


NPI Information

NPI: 1437271681
Provider Name: SUMMER RIVER INC COMPLETE MEDICAL

Doing Business As: COMPLETE MEDICAL PRODUCTS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
90-09 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY
ZIP 11693
Phone: (718) 945-9119
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SUMMER RIVER INC COMPLETE MEDICAL is a prosthetic orthotic supplier in Rockaway Beach, NY. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. SUMMER RIVER INC COMPLETE MEDICAL NPI is 1437271681. The provider is registered as an organization entity type.
The provider Is Doing Business As Complete Medical Products.

The provider's business location address is:

90-09 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY
ZIP 11693-531
Phone: (718) 945-9119
Fax: (718) 945-6034

The provider's authorized official is Ed Flanagan .
The authorized official title is Owner and has the following contact phone number (917) 363-3460.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 4/18/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1206175300OTHERDOL
21227420001MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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