# PREMIER SURGICAL SERVICES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIER SURGICAL SERVICES, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093995193
- **Legal business name:** PREMIER SURGICAL SERVICES, P.C.
- **Authorized official:** DR. RANDALL VICTOR EHRLICH M.D. (PRESIDENT)
- **Authorized official phone:** (917) 886-5545

## Contact information

- **Practice address:** 68 BOULDER RIDGE RD, SCARSDALE, NY 10583-3150
- **Practice address phone:** (877) 877-8232
- **Practice address fax:** (877) 877-8232
- **Mailing address:** 68 BOULDER RIDGE RD, SCARSDALE, NY 10583-3150
- **Mailing address phone:** (877) 877-8232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 198606 | NY | Yes |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 03/18/2014