AVICENNA ASC INC. NPI 1619398542

NPI Information

NPI: 1619398542
Provider Name: AVICENNA ASC INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 33D2080193

Address:
2522 HUGHES AVE
BRONX, NY
ZIP 10458
Phone: (718) 933-1900
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AVICENNA ASC INC. is an ambulatory surgical clinic center in Bronx, NY. AVICENNA ASC INC. NPI is 1619398542. The provider is registered as an organization entity type.

The provider's business location address is:

2522 HUGHES AVE
BRONX, NY
ZIP 10458-112
Phone: (718) 933-1900
Fax: (718) 933-1938

The provider's authorized official is Shahriar Daneshvar .
The authorized official title is Ceo/administrator and has the following contact phone number (718) 933-1900.

The CLIA number assigned to this NPI record is 33D2080193 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2013 and was last updated on 6/10/2015.

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		NEW YORK	Yes

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: 11/14/2023

NPI Synchronization or Removal

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