Organization
LATRENTA OFFICE BASED SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY S LATRENTA MD (OWNER)
(212) 369-5300
Entity
Organization
Contact information
Practice address
1150 PARK AVE, SUITE 1A, NEW YORK, NY 10128-1244
(212) 369-5300
Mailing address
1150 PARK AVE, SUITE 1A, NEW YORK, NY 10128-1244
(212) 369-5300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NY
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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