# EMPIRE CENTER FOR SPECIAL SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Empire Center for Special Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861270076
- **Authorized official:** DR. JASON D KOFINAS (BOARD CHAIR)
- **Authorized official phone:** (718) 682-8180

## Contact information

- **Practice address:** 4855 HYLAN BLVD, STATEN ISLAND, NY 10312-6319
- **Practice address phone:** (718) 804-5422
- **Mailing address:** 65 BROADWAY FL 14, NEW YORK, NY 10006-2516
- **Mailing address phone:** (718) 682-8180
- **Mailing address fax:** (718) 682-8181

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2023
- **Last updated:** 01/09/2025