# 72ND STREET SURGERY REALTY CORP

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

## Provider details

- **NPI number:** 1164692869
- **Authorized official:** MR. EDMUND KWAN MD (OWNER)
- **Authorized official phone:** (212) 734-4488

## Contact information

- **Practice address:** 302 E 72ND ST, NEW YORK, NY 10021-4772
- **Practice address phone:** (212) 734-4488
- **Mailing address:** 302 E 72ND ST, NEW YORK, NY 10021-4772
- **Mailing address phone:** (212) 734-4488

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/10/2008