Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Light Surgical Supply, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1053541359

Light Surgical Supply, Inc is a Durable Medical Equipment & Medical Supplies in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

11610 Queens Blvd Ste 101
Forest Hills, NY 11375-7055
Phone: (646) 930-7459
Fax: (646) 930-7462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (NY)

Record details

NPI number1053541359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rafael Maksumov — President · (646) 930-7459
NPI enumeratedJuly 21, 2009
Last updated in NPPESJuly 21, 2022
Mailing address11610 Queens Blvd Ste 101, Forest Hills, NY 11375-7055

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