# SUFFOLK AMBULATORY SURGERY FACILITY

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

## Provider details

- **NPI number:** 1881714905
- **Authorized official:** DR. LYNN PIERRI D.D.S., M.S. (CEO)
- **Authorized official phone:** (631) 863-2060

## Contact information

- **Practice address:** 400 TOWNLINE RD, SUITE 135, HAUPPAUGE, NY 11788-2838
- **Practice address phone:** (631) 863-2060
- **Practice address fax:** (631) 360-0087
- **Mailing address:** PO BOX 5341, 400 TOWNLINE ROAD, HAUPPAUGE, NY 11788-0116
- **Mailing address phone:** (631) 863-2060
- **Mailing address fax:** (631) 360-0087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 037333-1 | NY | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 03/07/2023