CEAN SURGICAL PLAZA NPI 1104050517

NPI Information

  • NPI: 1104050517
  • Provider Name: CEAN SURGICAL PLAZA
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1200 WATERS PL
    SUITE 106
    BRONX, NY
    ZIP 10461
  • Phone: (800) 975-5109

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NPI Details

CEAN SURGICAL PLAZA is an ambulatory surgical clinic center in Bronx, NY. CEAN SURGICAL PLAZA NPI is 1104050517. The provider is registered as an organization entity type.

The provider's business location address is:

1200 WATERS PL
SUITE 106
BRONX, NY
ZIP 10461-728
Phone: (800) 975-5109
Fax: (718) 732-2511

The provider's authorized official is Conrad Fritz Cean .
The authorized official title is Medical Director and has the following contact phone number (800) 975-5109.

The enumeration date for this NPI number is 5/13/2009 and was last updated on 5/13/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical225389NEW YORKYes

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: 11/21/2025

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