Provider Demographics
NPI:1538205323
Name:MOUNT SINAI SURGICAL SUPPLIES INC.
Entity type:Organization
Organization Name:MOUNT SINAI SURGICAL SUPPLIES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NAIYER
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-507-4444
Mailing Address - Street 1:8008 BAXTER AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1313
Mailing Address - Country:US
Mailing Address - Phone:718-507-4444
Mailing Address - Fax:718-457-3212
Practice Address - Street 1:8008 BAXTER AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1313
Practice Address - Country:US
Practice Address - Phone:718-507-4444
Practice Address - Fax:718-457-3212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY99596601OtherNEIGHBORHOOD
NY01774574Medicaid
NY10200308OtherAMERI GROUP
NY=========OtherMETROPLUS
NY01774574Medicaid
NY1279520001Medicare NSC