Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Concourse Surgical Sport Supply, Inc

Organization Customized Equipment (DME) · NPI 1912910571

Concourse Surgical Sport Supply, Inc is a Customized Equipment (DME) in New York, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5049 Broadway
New York, NY 10034-1131
Phone: (212) 569-2635
Fax: (212) 569-2639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1912910571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nidia Pena — Manager · (212) 569-2635
NPI enumeratedAugust 14, 2006
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing address8 Edgewood Dr, Orangeburg, NY 10962-1604

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