Organization
BRONX SC LLC
Active
Other names
Empire State Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD WILSON M.D. (PRESIDENT)
(914) 907-2225
Entity
Organization
Contact information
Practice address
3170 WEBSTER AVE, BRONX, NY 10467-4902
(718) 708-5777
(718) 708-4963
Mailing address
3170 WEBSTER AVE, BRONX, NY 10467-4902
(718) 708-5777
(718) 708-4963
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7000284R
NY
Other
Enumeration date
04/14/2014
Last updated
05/15/2015
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