Provider Demographics
NPI:1285986240
Name:AMERICAN MEDICAL SURGICAL
Entity type:Organization
Organization Name:AMERICAN MEDICAL SURGICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIKSETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-708-9370
Mailing Address - Street 1:101 W 23RD ST
Mailing Address - Street 2:SUITE#295
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2490
Mailing Address - Country:US
Mailing Address - Phone:347-708-9370
Mailing Address - Fax:
Practice Address - Street 1:101 W 23RD ST
Practice Address - Street 2:SUITE#295
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2490
Practice Address - Country:US
Practice Address - Phone:347-708-9370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies