Provider Demographics
NPI:1285632703
Name:HP MEDICAL AND SURGICAL SUPPLY INC.
Entity type:Organization
Organization Name:HP MEDICAL AND SURGICAL SUPPLY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATRIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-373-0202
Mailing Address - Street 1:1673 ROUTE 9 STE 7
Mailing Address - Street 2:
Mailing Address - City:HALFMOON
Mailing Address - State:NY
Mailing Address - Zip Code:12065-4401
Mailing Address - Country:US
Mailing Address - Phone:518-373-0202
Mailing Address - Fax:518-373-0218
Practice Address - Street 1:1673 ROUTE 9 STE 7
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-4401
Practice Address - Country:US
Practice Address - Phone:518-373-0202
Practice Address - Fax:518-373-0218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0666080332BX2000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02581831Medicaid
NY4716270001Medicare ID - Type UnspecifiedPROVIDER NUMBER