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Organization
LYNBROOK SC LLC
Active
Organization
LYNBROOK SC LLC
Active
Other names
Lynbrook Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY I RAIFMAN (ADMINISTRATOR)
(516) 887-0890
Entity
Organization
Contact information
Practice address
444 MERRICK RD, STE 400, LYNBROOK, NY 11563-2400
(516) 887-0890
(516) 887-6219
Mailing address
444 MERRICK RD, LYNBROOK, NY 11563
(516) 887-0890
(516) 887-6219
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2907200R
NY
Other
Enumeration date
06/08/2005
Last updated
09/28/2021
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