# MASON ESC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mason Eye Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285065490
- **Authorized official:** DR. BENJAMIN MASON MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 505-0100

## Contact information

- **Practice address:** 10512 101ST AVE, OZONE PARK, NY 11416-2703
- **Practice address phone:** (718) 505-0100
- **Mailing address:** 4141 51ST STREET, WOODSIDE, NY 11377
- **Mailing address phone:** (718) 505-0100
- **Mailing address fax:** (347) 935-3678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 224032-1 | NY | Yes |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 12/18/2013