# AHGH FEMCARE OFFICE BASED SURGERY PC

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

## Provider details

- **NPI number:** 1548513674
- **Authorized official:** DR. STEPHANIE C BUCK-HASKIN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (516) 482-6100

## Contact information

- **Practice address:** 600 NORTHERN BLVD, SUITE 109, GREAT NECK, NY 11021-5206
- **Practice address phone:** (516) 482-6100
- **Practice address fax:** (516) 466-7616
- **Mailing address:** 600 NORTHERN BLVD, SUITE 109, GREAT NECK, NY 11021-5206
- **Mailing address phone:** (516) 482-6100
- **Mailing address fax:** (516) 466-7616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 4615 | NY | Yes |

## Other

- **Enumeration date:** 10/26/2012
- **Last updated:** 10/26/2012
