EASTERN ORANGE AMBULATORY SURGERY CENTER LLC NPI 1568583896

NPI Information

EASTERN ORANGE AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Cornwall, NY. EASTERN ORANGE AMBULATORY SURGERY CENTER, LLC NPI is 1568583896. The provider is registered as an organization entity type.

The provider's business location address is:

21 LAUREL AVE
SUITE 120
CORNWALL, NY
ZIP 12518
Phone: (845) 458-7800
Fax: (845) 458-7878

The provider's authorized official is Michael Sayegh .
The authorized official title is President and has the following contact phone number (845) 561-2920.

The CLIA number assigned to this NPI record is 33D1067336 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.

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:

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