# PRIME ONE MEDICAL SERVICES PLLC

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

## Provider details

- **NPI number:** 1912304130
- **Authorized official:** DR. ARI BENJAMIN LERNER MD (PRESIDENT)
- **Authorized official phone:** (917) 586-3095

## Contact information

- **Practice address:** 2515 CRESCENT ST, ASTORIA, NY 11102-4370
- **Practice address phone:** (718) 932-1740
- **Mailing address:** 2515 CRESCENT ST, ASTORIA, NY 11102-4370
- **Mailing address phone:** (718) 932-1740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 234524 | NY | Yes |

## Other

- **Enumeration date:** 12/03/2014
- **Last updated:** 12/03/2014