# MATARASSO SURGICAL

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

## Provider details

- **NPI number:** 1811430507
- **Authorized official:** DR. ALAN MATARASSO MD, FACS (OWNER)
- **Authorized official phone:** (212) 249-7500

## Contact information

- **Practice address:** 1009 PARK AVE, NEW YORK, NY 10028-0936
- **Practice address phone:** (212) 249-7500
- **Practice address fax:** (212) 628-5000
- **Mailing address:** 1009 PARK AVE, NEW YORK, NY 10028-0936
- **Mailing address phone:** (212) 249-7500
- **Mailing address fax:** (212) 628-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 142557 | NY | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 11/29/2016