# ATLANTIS MEDICAL OFFICE BASED SURGERY, PLLC

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

## Provider details

- **NPI number:** 1689846412
- **Authorized official:** DR. MICHAEL TERRANI (MEDICAL DIRECTOR)
- **Authorized official phone:** (516) 663-6400

## Contact information

- **Practice address:** 200 GARDEN CITY PLZ, SUITE 100C, GARDEN CITY, NY 11530-3301
- **Practice address phone:** (516) 663-6400
- **Practice address fax:** (516) 663-6404
- **Mailing address:** PO BOX 15546, SACRAMENTO, CA 95852-0546
- **Mailing address phone:** (516) 663-6400
- **Mailing address fax:** (516) 663-6404

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 07/21/2022