# AUSTIN SURGERY PROFESSIONAL GYNECOLOGICAL OFFICE BASED SURGERY

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

## Provider details

- **NPI number:** 1629368790
- **Authorized official:** DR. ERROL PETER THOMPSON MD (PRESIDENT)
- **Authorized official phone:** (718) 526-1839

## Contact information

- **Practice address:** 6902 AUSTIN ST, THIRD FLOOR, FOREST HILLS, NY 11375-4233
- **Practice address phone:** (718) 526-1839
- **Practice address fax:** (718) 497-7057
- **Mailing address:** 6902 AUSTIN ST, THIRD FLOOR, FOREST HILLS, NY 11375-4233
- **Mailing address phone:** (718) 526-1839
- **Mailing address fax:** (718) 497-7057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 3632 | NY | Yes |

## Other

- **Enumeration date:** 04/11/2011
- **Last updated:** 04/11/2011
