# LUXURGERY 880

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

## Provider details

- **NPI number:** 1396230777
- **Authorized official:** DR. SACHIN MAHAVIR SHRIDHARANI MD (FACILITY DIRECTOR)
- **Authorized official phone:** (212) 508-0000

## Contact information

- **Practice address:** 880 FIFTH AVENUE, \#1B/C/D, NEW YORK, NY 10021
- **Practice address phone:** (212) 508-0000
- **Mailing address:** 880 FIFTH AVENUE, \#1B/C/D, NEW YORK, NY 10021
- **Mailing address phone:** (212) 508-0000
- **Mailing address fax:** (212) 508-0005

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2018
- **Last updated:** 06/27/2018