Organization
STAR SUITES LLC
Active
Other names
Star Surgical Suites LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INESSA MONTES (ADMINISTRATOR)
(516) 900-7690
Entity
Organization
Contact information
Practice address
623 STEWART AVE STE 101, GARDEN CITY, NY 11530-4771
(516) 650-3355
Mailing address
623 STEWART AVE STE 101, GARDEN CITY, NY 11530-4771
(516) 900-7690
(929) 214-4425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
12/16/2021
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