# ADVANCED SURGICAL ARTISTRY, PC

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

## Provider details

- **NPI number:** 1831714948
- **Authorized official:** MARY LEGG (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (347) 584-8903

## Contact information

- **Practice address:** 8318 4TH AVE, BROOKLYN, NY 11209-4413
- **Practice address phone:** (718) 748-0500
- **Mailing address:** 8318 4TH AVE, BROOKLYN, NY 11209-4413
- **Mailing address phone:** (718) 748-0500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2020
- **Last updated:** 06/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1619954435 | INDIVIDUAL NPI NUMBER | NY |