Organization
SURGICAL INTENSIVISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CERABONA MD (CHAIRMAN)
(914) 493-7221
Entity
Organization
Contact information
Practice address
19 BRADHURST AVE, SUITE 1700, HAWTHORNE, NY 10532-2140
(914) 347-0162
(914) 347-4401
Mailing address
NYMC MUNGER PAVILION DEPT SURGERY, ROOM 224, VALHALLA, NY 10595-1652
(914) 493-7621
(914) 594-4359
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
NY
2086X0206X
Surgical Oncology Physician
—
NY
363A00000X
Physician Assistant
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00959242
—
NY
Enumeration date
08/02/2005
Last updated
07/21/2022
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