# MUSEUM MILE OFFICE BASED SURGICAL FACILITY

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

## Provider details

- **NPI number:** 1063554111
- **Authorized official:** DR. JOHN E SHERMAN X M.D. (PRESIDENT)
- **Authorized official phone:** (212) 535-2300

## Contact information

- **Practice address:** 1016 FIFTH AVENUE, NEW YORK, NY 10028-0132
- **Practice address phone:** (212) 535-2300
- **Practice address fax:** (212) 535-0780
- **Mailing address:** 1016 5TH AVE, NEW YORK, NY 10028-0132
- **Mailing address phone:** (212) 535-2300
- **Mailing address fax:** (212) 535-0780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 127687 | NY | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020