Organization
MADISON AVENUE OPERATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY LYNN SILVERS M.D. (MEDICAL DIRECTOR)
(212) 213-3339
Entity
Organization
Contact information
Practice address
161 MADISON AVE, SUITE 11W, NEW YORK, NY 10016-5421
(212) 213-3339
(212) 213-3494
Mailing address
161 MADISON AVE, SUITE 11W, NEW YORK, NY 10016-5421
(212) 213-3339
(212) 213-3494
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
202817
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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