# UPPER EAST SIDE SURGICAL, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1013106574
- **Authorized official:** MICHELLE M ANTONELLI (SURGICAL BILLER)
- **Authorized official phone:** (212) 876-7000

## Contact information

- **Practice address:** 62 E 88TH ST, NEW YORK, NY 10128-1170
- **Practice address phone:** (212) 876-7000
- **Practice address fax:** (212) 876-5116
- **Mailing address:** 62 E 88TH ST, NEW YORK, NY 10128-1170
- **Mailing address phone:** (212) 876-7000
- **Mailing address fax:** (212) 876-5116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1822 | NY | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 10/22/2007