# CEAN SURGICAL PLAZA

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

## Provider details

- **NPI number:** 1104050517
- **Authorized official:** DR. CONRAD FRITZ CEAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (800) 975-5109

## Contact information

- **Practice address:** 1200 WATERS PL, SUITE 106, BRONX, NY 10461-2728
- **Practice address phone:** (800) 975-5109
- **Practice address fax:** (718) 732-2511
- **Mailing address:** 1400 5TH AVE, SUITE 3E, NEW YORK, NY 10026-2584
- **Mailing address phone:** (800) 975-5109
- **Mailing address fax:** (718) 732-2511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 225389 | NY | Yes |

## Other

- **Enumeration date:** 05/13/2009
- **Last updated:** 05/13/2009