# BOULEVARD SURGICAL CENTER, INC

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

## Provider details

- **NPI number:** 1922033836
- **Authorized official:** DROR ROSENFELD MD (ADMINISTRATOR)
- **Authorized official phone:** (718) 545-5050

## Contact information

- **Practice address:** 46-04 31ST AVENUE, LONG ISLAND CITY, NY 11103-1842
- **Practice address phone:** (718) 545-5050
- **Practice address fax:** (718) 545-5052
- **Mailing address:** 46-04 31ST AVENUE, LONG ISLAND CITY, NY 11103-1842
- **Mailing address phone:** (718) 545-5050
- **Mailing address fax:** (718) 545-5052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 700326OR | NY | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/16/2011