New York Medical Office Based Surgery Pc

NPI 1033402367 - Clinic/Center - 261QA1903X

NPI Details
NPI 1033402367
Enumeration Date 05/19/2011
Last Updated 05/19/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ZENAIDA ZENAIDA
Position PRESIDENT/OWNER
Phone (718) 229-3100
Fax
Practice Location
20801 NORTHERN BLVD
3RD FLOOR REAR
BAYSIDE NY, 11361-3118, US
Phone (718) 229-3100
Fax
Business Location
595 STEWART AVE
SUITE 750
GARDEN CITY NY, 11530-4787, US
Phone (516) 307-1345
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State New York
License Number 166048
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According to our database, New York Medical Office Based Surgery Pc NPI is 1033402367, taxonomy code is 261QA1903X and license number is 166048, license state is located at New York. New York Medical Office Based Surgery Pc physically located at 20801 Northern Blvd, Bayside NY, 11361-3118. NPI Number 1033115704 has the healthcare provider type.

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1033402367 NPI number is provided on an as is basis without warranty of any kind. 1033402367 is maintained by the National Plan & Provider Enumeration System. The contents of New York Medical Office Based Surgery Pc are for informational purposes only.