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Organization

CEAN SURGICAL PLAZA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CONRAD FRITZ CEAN M.D. (MEDICAL DIRECTOR)
(800) 975-5109
Entity
Organization

Contact information

Practice address
1200 WATERS PL, SUITE 106, BRONX, NY 10461-2728
(800) 975-5109
(718) 732-2511
Mailing address
1400 5TH AVE, SUITE 3E, NEW YORK, NY 10026-2584
(800) 975-5109
(718) 732-2511

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
225389
NY

Other

Enumeration date
05/13/2009
Last updated
05/13/2009
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