Organization
MASON ESC, LLC
Active
Other names
Mason Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN MASON MD (MEDICAL DIRECTOR)
(718) 505-0100
Entity
Organization
Contact information
Practice address
10512 101ST AVE, OZONE PARK, NY 11416-2703
(718) 505-0100
Mailing address
4141 51ST STREET, WOODSIDE, NY 11377
(718) 505-0100
(347) 935-3678
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
224032-1
NY
Other
Enumeration date
12/13/2013
Last updated
12/18/2013
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