# CITIMED SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMSC, LLC, Citimed Surgery Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235600701
- **Authorized official:** SONIA GARDELLA (ADMINISTRATOR)
- **Authorized official phone:** (201) 549-9998

## Contact information

- **Practice address:** 9212 165TH ST, JAMAICA, NY 11433-1104
- **Practice address phone:** (718) 571-9595
- **Mailing address:** 9212 165TH ST, JAMAICA, NY 11433-1104
- **Mailing address phone:** (201) 549-9998
- **Mailing address fax:** (646) 585-4251

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2018
- **Last updated:** 03/31/2023