# SYOSSET SASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopedic Spine & Sports Medicine Surgical Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740999085
- **Authorized official:** WILLIAM D CUNDIFF (COO)
- **Authorized official phone:** (516) 795-3033

## Contact information

- **Practice address:** 115 EILEEN WAY SUITE 3, SYOSSET, NY 11791-5302
- **Practice address phone:** (165) 795-3033
- **Mailing address:** SYOSSET SASC LLC, 115 EILEEN WAY SUITE 3, SYOSSET, NY 11791

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 03/05/2025