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Organization

AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN DUFFY R.N. (ADMINISTRATOR)
(718) 515-3500
Entity
Organization

Contact information

Practice address
1101 PELHAM PKWY N, BRONX, NY 10469-5411
(718) 515-3500
(718) 519-1096
Mailing address
1101 PELHAM PKWY N, BRONX, NY 10469-5411
(718) 515-3500
(718) 519-1096

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01088706
NY
01
490000956
RAILROAD MEDICARE
NY
Enumeration date
09/20/2006
Last updated
03/18/2013
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