National Provider Identifier Database

MED STAR SURGICAL BREATHING EQUIPMENT INC
Oxygen Equipment & Supplies


Contact Information

MED STAR SURGICAL & BREATHING EQUIPMENT, INC.
709 HAWKINS AVE STE 5
RONKONKOMA, NY11779-2293
Phone: 631-694-8787
Fax: 631-694-3439
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for MED STAR SURGICAL & BREATHING EQUIPMENT, INC.

NPI Number 1639709538
Legal business name
LBN
MED STAR SURGICAL & BREATHING EQUIPMENT, INC.
Authorized official WENDY RUSSALESI - (CHIEF COMPLIANCE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 01/19/2020
Last updated 05/05/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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