Concourse Surgical Sport Supply, Inc.
Customized Equipment
5049 Broadway, New York
New York, 10034-1131
212-569-2635 212-569-2639
Concourse Surgical Sport Supply, Inc. is a Customized Equipment in New York, New York. It is located at 5049 Broadway, New York and it's customer support contact number is 212-569-2635. The authorized person of Concourse Surgical Sport Supply, Inc. is Nidia Pena who is Manager of this DME and his contact number is 212-569-2635.
Concourse Surgical Sport Supply, Inc. is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Concourse Surgical Sport Supply, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Concourse Surgical Sport Supply, Inc. |
| Type: | Customized Equipment |
| Location: | 5049 Broadway, New York,
New York, 10034-1131 |
| Phone: | 212-569-2635 |
| Fax: | 212-569-2639 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Nidia Pena |
| Position: | Manager |
| Contact Number: | 212-569-2635 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1912910571 |
| NPI Enumeration Date: | 14 Aug, 2006 |
| NPI Last Update On: | 05 Oct, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Concourse Surgical Sport Supply, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01785982 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8 Edgewood Dr,
Orangeburg, New York |
| Zip: | 10962-1604 |
| Phone Number: | 212-569-2635 |
| Fax Number: | 212-569-2639 |
Patients can reach Concourse Surgical Sport Supply, Inc. at
5049 Broadway, New York, New York or can
call on customer care at 212-569-2635.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.