# ABBEY ROAD OFFICE BASED SURGERY PLLC

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

## Provider details

- **NPI number:** 1073743563
- **Authorized official:** ROBERT B JETTER MD (OWNER)
- **Authorized official phone:** (212) 517-5200

## Contact information

- **Practice address:** 737 PARK AVE, NEW YORK, NY 10021-4256
- **Practice address phone:** (212) 517-5200
- **Practice address fax:** (212) 737-5657
- **Mailing address:** 737 PARK AVE, NEW YORK, NY 10021-4256
- **Mailing address phone:** (212) 517-5200
- **Mailing address fax:** (212) 737-5657

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 09/03/2009