# LYNBROOK SC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynbrook Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659375632
- **Authorized official:** JAY I RAIFMAN (ADMINISTRATOR)
- **Authorized official phone:** (516) 887-0890

## Contact information

- **Practice address:** 444 MERRICK RD, STE 400, LYNBROOK, NY 11563-2400
- **Practice address phone:** (516) 887-0890
- **Practice address fax:** (516) 887-6219
- **Mailing address:** 444 MERRICK RD, LYNBROOK, NY 11563
- **Mailing address phone:** (516) 887-0890
- **Mailing address fax:** (516) 887-6219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2907200R | NY | Yes |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 09/28/2021