NYEEQASCLLC NPI 1851717383

NPI Information

NPI: 1851717383
Provider Name: NYEEQASC,LLC

Doing Business As: NORTH QUEENS SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 33D2076627

Address:
4564 FRANCIS LEWIS BLVD
SUITE 200
BAYSIDE, NY
ZIP 11361
Phone: (929) 258-7720
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NYEEQASC,LLC is an ambulatory surgical clinic center in Bayside, NY. NYEEQASC,LLC NPI is 1851717383. The provider is registered as an organization entity type.
The provider Is Doing Business As North Queens Surgical Center.

The provider's business location address is:

4564 FRANCIS LEWIS BLVD
SUITE 200
BAYSIDE, NY
ZIP 11361
Phone: (929) 258-7720
Fax: (929) 258-7722

The provider's authorized official is Deborah Comerford .
The authorized official title is V.p. Of Operations and has the following contact phone number (781) 812-4665.

The CLIA number assigned to this NPI record is 33D2076627 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2014 and was last updated on 6/3/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	9784	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9784	OTHER	NEW YORK	STATE OPERATING LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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