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Organization

INTERNATIONAL SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY BAEZ (COO)
(516) 693-0700
Entity
Organization

Contact information

Practice address
3250 WESTCHESTER AVE, BRONX, NY 10461-4500
(718) 518-9304
Mailing address
3250 WESTCHESTER AVE, BRONX, NY 10461-4500
(718) 518-9304

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
160910
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01037461
NY
Enumeration date
02/02/2007
Last updated
04/02/2019
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