# BRONX SC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Empire State Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720407273
- **Authorized official:** ARNOLD WILSON M.D. (PRESIDENT)
- **Authorized official phone:** (914) 907-2225

## Contact information

- **Practice address:** 3170 WEBSTER AVE, BRONX, NY 10467-4902
- **Practice address phone:** (718) 708-5777
- **Practice address fax:** (718) 708-4963
- **Mailing address:** 3170 WEBSTER AVE, BRONX, NY 10467-4902
- **Mailing address phone:** (718) 708-5777
- **Mailing address fax:** (718) 708-4963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7000284R | NY | Yes |

## Other

- **Enumeration date:** 04/14/2014
- **Last updated:** 05/15/2015