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Organization

FIFTH AVENUE SURGERY CENTER, LLC

Active
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Organization

FIFTH AVENUE SURGERY CENTER, LLC

Active
Other names
French American Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES J RAAB (CHIEF FINANCIAL OFFICER)
(212) 772-6667
Entity
Organization

Contact information

Practice address
1049 5TH AVE, NEW YORK, NY 10028-0115
(212) 772-6667
(212) 988-8018
Mailing address
1049 5TH AVE, NEW YORK, NY 10028-0115
(212) 772-6667
(212) 988-8018

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002195R
NY

Other

Enumeration date
09/28/2006
Last updated
06/03/2011
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