Organization
ALPHA AMBULATORY SURGERY CENTER, LLC
Active
Other names
ALPHA AMBULATORY SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIA LOPEZ (ASSISTANT DIRECTOR OF THE BILLING D)
(212) 319-3977
Entity
Organization
Contact information
Practice address
110 E 60TH ST STE 404, NEW YORK, NY 10022-1694
(212) 319-3977
(212) 721-0806
Mailing address
1041 3RD AVE STE 201, NEW YORK, NY 10065-8114
(212) 319-3977
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00329451
—
NY
05
—
04568883
—
NY
05
—
05721540
—
NY
05
—
06077421
—
NY
Enumeration date
10/20/2022
Last updated
03/05/2024
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