# NORTHEAST SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003086729
- **Authorized official:** JOHN FARELLA MD (OWNER)
- **Authorized official phone:** (914) 588-2665

## Contact information

- **Practice address:** 666 LEXINGTON AVE STE 104, MOUNT KISCO, NY 10549-3638
- **Practice address phone:** (914) 588-2665
- **Mailing address:** 311 NORTH ST STE 408, WHITE PLAINS, NY 10605-2215
- **Mailing address phone:** (914) 588-2665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/12/2009