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

Concourse Surgical Sport Supply, Inc

Organization Customized Equipment (DME) · NPI 1912910571

Concourse Surgical Sport Supply, Inc provides Customized Equipment (DME) in New York, New York. Registered with an NPI since 2006.

In the registry since
2006
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

5049 Broadway
New York, NY 10034-1131
Phone: (212) 569-2635
Fax: (212) 569-2639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1912910571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nidia Pena — Manager · (212) 569-2635
NPI enumeratedAugust 14, 2006
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing address8 Edgewood Dr, Orangeburg, NY 10962-1604

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