Organization
SNE ASC II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SEARLES (MEMBER/MANAGER)
(914) 552-6929
Entity
Organization
Contact information
Practice address
4695 MAIN ST, BRIDGEPORT, CT 06606-1802
(914) 552-6929
Mailing address
4695 MAIN ST, BRIDGEPORT, CT 06606-1802
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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