Organization
NEW YORK SURGICAL ASSOCIATES OFFICE BASED SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMASINE FODERA MD (OWNER)
(718) 815-2300
Entity
Organization
Contact information
Practice address
2235 CLOVE RD, SUITE #2, STATEN ISLAND, NY 10305-1566
(718) 815-2300
(718) 815-8200
Mailing address
2235 CLOVE RD, SUITE #2, STATEN ISLAND, NY 10305-1566
(718) 815-2300
(718) 815-8200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
204537-1
NY
208600000X
Surgery Physician
Primary
209637-1
NY
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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