Organization
UPPER EAST SIDE SURGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M ANTONELLI (SURGICAL BILLER)
(212) 876-7000
Entity
Organization
Contact information
Practice address
62 E 88TH ST, NEW YORK, NY 10128-1170
(212) 876-7000
(212) 876-5116
Mailing address
62 E 88TH ST, NEW YORK, NY 10128-1170
(212) 876-7000
(212) 876-5116
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1822
NY
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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