# STAR SUITES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Star Surgical Suites LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023588266
- **Authorized official:** MS. INESSA MONTES (ADMINISTRATOR)
- **Authorized official phone:** (516) 900-7690

## Contact information

- **Practice address:** 623 STEWART AVE STE 101, GARDEN CITY, NY 11530-4771
- **Practice address phone:** (516) 650-3355
- **Mailing address:** 623 STEWART AVE STE 101, GARDEN CITY, NY 11530-4771
- **Mailing address phone:** (516) 900-7690
- **Mailing address fax:** (929) 214-4425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 12/16/2021