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Organization
EMPIRE CENTER FOR SPECIAL SURGERY, LLC
Active
Organization
EMPIRE CENTER FOR SPECIAL SURGERY, LLC
Active
Other names
Empire Center for Special Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON D KOFINAS (BOARD CHAIR)
(718) 682-8180
Entity
Organization
Contact information
Practice address
4855 HYLAN BLVD, STATEN ISLAND, NY 10312-6319
(718) 804-5422
Mailing address
65 BROADWAY FL 14, NEW YORK, NY 10006-2516
(718) 682-8180
(718) 682-8181
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/19/2023
Last updated
01/09/2025
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