Organization
NEW YORK SURGICALIST SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN M. REED (DIRECTOR OF LEGAL AFFAIRS)
(916) 441-0400
Entity
Organization
Contact information
Practice address
460 GIDNEY AVE, NEWBURGH, NY 12550-3117
(916) 441-0400
Mailing address
PO BOX 208972, DALLAS, TX 75320-0001
(916) 441-0400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
03/11/2021
Last updated
06/11/2021
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