# CSR OUTPATIENT MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1871824474
- **Authorized official:** DR. STANLEY A FOX M.D. (DIRECTOR)
- **Authorized official phone:** (516) 797-2146

## Contact information

- **Practice address:** 585 BROADWAY, MASSAPEQUA, NY 11758-5023
- **Practice address phone:** (516) 797-1234
- **Mailing address:** 585 BROADWAY, MASSAPEQUA, NY 11758-5023
- **Mailing address phone:** (516) 797-1234

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2010
- **Last updated:** 11/15/2010