# EAST END SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1720991680
- **Authorized official:** DR. MARK CORONEL MD (PRESIDENT/OWNER)
- **Authorized official phone:** (631) 591-3000

## Contact information

- **Practice address:** 287 WADING RIVER ROAD, UNIT 2A, MANORVILLE, NY 11949
- **Practice address phone:** (631) 591-3000
- **Practice address fax:** (631) 591-1734
- **Mailing address:** 287 WADING RIVER ROAD, UNIT 2A, MANORVILLE, NY 11949
- **Mailing address phone:** (631) 591-3000
- **Mailing address fax:** (631) 591-1734

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2026
- **Last updated:** 09/23/2026