AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC NPI 1619172970

NPI Information

NPI: 1619172970
Provider Name: AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2777 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 987-9165
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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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes
2	261QR1100X	Clinic/Center	Research			X

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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