Organization
ROOSEVELT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE JONES M.D. (PRESIDENT)
(212) 996-2559
Entity
Organization
Contact information
Practice address
619 W 54TH ST, SUITE 602, NEW YORK, NY 10019-3545
(212) 231-7778
(212) 581-1987
Mailing address
619 W 54TH ST, SUITE 602, NEW YORK, NY 10019-3545
(212) 231-7778
(212) 581-1987
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/29/2012
Last updated
02/19/2020
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