Organization
AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAM DECORATO MD (PRESIDENT)
(718) 987-9165
Entity
Organization
Contact information
Practice address
2777 HYLAN BLVD, STATEN ISLAND, NY 10306-4660
(718) 987-9165
(718) 987-0305
Mailing address
2777 HYLAN BLVD, STATEN ISLAND, NY 10306-4660
(718) 987-9165
(718) 987-0305
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
06/18/2007
Last updated
09/11/2025
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