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Organization
BRONX SC LLC
Active
Organization
BRONX SC LLC
Active
Other names
Empire State Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD WILSON M.D. (PRESIDENT)
(914) 907-2225
Entity
Organization
Contact information
Practice address
3170 WEBSTER AVE, BRONX, NY 10467-4902
(718) 708-5777
(718) 708-4963
Mailing address
3170 WEBSTER AVE, BRONX, NY 10467-4902
(718) 708-5777
(718) 708-4963
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7000284R
NY
Other
Enumeration date
04/14/2014
Last updated
05/15/2015
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