72ND STREET SURGERY REALTY CORP NPI 1164692869

NPI Information

NPI: 1164692869
Provider Name: 72ND STREET SURGERY REALTY CORP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
302 E 72ND ST
NEW YORK, NY
ZIP 10021
Phone: (212) 734-4488
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72ND STREET SURGERY REALTY CORP is an ambulatory surgical clinic center in New York, NY. 72ND STREET SURGERY REALTY CORP NPI is 1164692869. The provider is registered as an organization entity type.

The provider's business location address is:

302 E 72ND ST
NEW YORK, NY
ZIP 10021-772
Phone: (212) 734-4488

The provider's authorized official is Edmund Kwan .
The authorized official title is Owner and has the following contact phone number (212) 734-4488.

The enumeration date for this NPI number is 3/10/2008 and was last updated on 3/10/2008.

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			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	G06367N	OTHER	NEW YORK	UPIN
2	24L741	MEDICARE PIN	NEW 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

NPI Synchronization or Removal

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