Organization
FIFTH AVENUE SURGICAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A TSOUKALAS (EXEC DIRECTOR)
(917) 250-4958
Entity
Organization
Contact information
Practice address
75 HOLLY HILL LN STE 201, GREENWICH, CT 06830-2912
(201) 357-8888
(216) 482-8082
Mailing address
75 HOLLY HILL LN STE 201, GREENWICH, CT 06830-2912
(201) 357-8888
(216) 482-8082
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/21/2023
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