OrganizationTri State Surgical Associates PllcSpecialistOther Service ProvidersPractice Address384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013(845) 692-8780PECOS EnrollmentBased on the most recent information from CMS, provider Tri State Surgical Associates Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1801993175Provider TypeOrganizationFull NameTri State Surgical Associates PllcSubpartNoEnumeration Date9/20/2006Last Updated11/1/2023Contact InformationPractice LocationPractice Address384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013Phone(845) 692-8780Fax(845) 692-3439Mailing LocationMailing Address384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013Phone(845) 692-8780Fax(845) 692-3439Authorized OfficialNameKowal, Gina (Billing Manager)Phone(845) 692-8780Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense216778New York