Organization
ROCKAWAYS ASC DEVELOPMENT, LLC.
Active
Other names
Rockaways Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GELWAN MD (PRESIDENT / OWNER)
(917) 696-3192
Entity
Organization
Contact information
Practice address
105-20 ROCKAWAY BEACH BLVD, SUITE 301, ROCKAWAY PARK, NY 11694
(917) 696-3192
Mailing address
105-20 ROCKAWAY BEACH BLVD, SUITE 301, ROCKAWAY PARK, NY 11694
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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