Organization
FCN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RAY DPM (CEO)
(917) 405-7881
Entity
Organization
Contact information
Practice address
6406 FLEET ST, REGO PARK, NY 11374-5243
(718) 896-3080
Mailing address
718 BROUGHTON ST, ORANGEBURG, SC 29115-6648
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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