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LATRENTA OFFICE BASED SURGERY PC NPI 1104059369


NPI Information

NPI: 1104059369
Provider Name: LATRENTA OFFICE BASED SURGERY PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1150 PARK AVE
SUITE 1A
NEW YORK, NY
ZIP 10128
Phone: (212) 369-5300
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LATRENTA OFFICE BASED SURGERY PC is an ambulatory surgical clinic center in New York, NY. LATRENTA OFFICE BASED SURGERY PC NPI is 1104059369. The provider is registered as an organization entity type.

The provider's business location address is:

1150 PARK AVE
SUITE 1A
NEW YORK, NY
ZIP 10128-244
Phone: (212) 369-5300

The provider's authorized official is Gregory S Latrenta .
The authorized official title is Owner and has the following contact phone number (212) 369-5300.

The enumeration date for this NPI number is 9/3/2009 and was last updated on 9/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B10292MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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