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Organization

SUFFOLK AMBULATORY SURGERY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HILTON C ADLER MD (OWNER/PRESIDENT)
(631) 751-4400
Entity
Organization

Contact information

Practice address
179 N BELLE MEAD RD, SUITE 3, EAST SETAUKET, NY 11733-3528
(631) 751-4400
(631) 689-2375
Mailing address
179 N BELLE MEAD RD, SUITE 3, EAST SETAUKET, NY 11733-3528
(631) 751-4400
(631) 689-2375

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
050722
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050722
NYS OFFICE OF PROFESSIONS
NY
Enumeration date
09/13/2010
Last updated
09/13/2010
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