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Organization
UNION SQUARE SURGICAL PC
Active
Organization
UNION SQUARE SURGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LAZA (BILLING MANAGER)
(646) 829-1392
Entity
Organization
Contact information
Practice address
55 W 17TH ST, NEW YORK, NY 10011-5513
(212) 427-8761
(212) 427-8762
Mailing address
121 W 27TH ST STE 504, NEW YORK, NY 10001-6207
(212) 427-8761
(212) 427-8762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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