Organization
MELVILLE SC LLC
Active
Other names
Melville Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALIE CHIARELLI (BUS. OFFICE MANAGER)
(631) 293-9700
Entity
Organization
Contact information
Practice address
1895 WALT WHITMAN RD, MELVILLE, NY 11747-3031
(631) 293-9700
(631) 293-2021
Mailing address
1895 WALT WHITMAN ROAD, MELVILLE, NY 11747-3031
(631) 293-9700
(631) 293-2021
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287085
—
NY
Enumeration date
08/24/2006
Last updated
05/13/2015
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