Organization
DEVONSHIRE SURGICAL FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN WEISS DPM (MEDICAL DIRECTOR)
(212) 838-8196
Entity
Organization
Contact information
Practice address
57 W 57TH ST, NEW YORK, NY 10019-2802
(212) 838-8196
Mailing address
57 W 57TH ST, NEW YORK, NY 10019-2802
(212) 838-8196
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
235963
NY
Other
Enumeration date
03/18/2009
Last updated
01/17/2014
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