AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC NPI 1619172970

NPI Information

  • NPI: 1619172970
  • Provider Name: AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2777 HYLAN BLVD
    STATEN ISLAND, NY
    ZIP 10306
  • Phone: (718) 987-9165

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NPI Details

AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Staten Island, NY. AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC NPI is 1619172970. The provider is registered as an organization entity type.

The provider's business location address is:

2777 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10306-660
Phone: (718) 987-9165
Fax: (718) 987-0305

The provider's authorized official is John William Decorato .
The authorized official title is President and has the following contact phone number (718) 987-9165.

The enumeration date for this NPI number is 6/18/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes
2261QR1100XClinic/CenterResearchX

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: 3/30/2025

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