Organization
ANDREW JACONO CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA ORAMAS (BILLER)
(239) 541-9993
Entity
Organization
Contact information
Practice address
900 NORTHERN BLVD, GREAT NECK, NY 11021-5302
(239) 541-9993
Mailing address
900 NORTHERN BLVD, GREAT NECK, NY 11021-5302
(239) 541-9993
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1679
NY
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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