Organization
MANHATTAN RECONSTRUCTIVE OFFICE BASED SURGERY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURO C. ROMITA M.D. (MEDICAL DIRECTOR)
(212) 772-3220
Entity
Organization
Contact information
Practice address
853 5TH AVE, NEW YORK, NY 10065-5802
(212) 772-3220
(212) 772-3442
Mailing address
853 5TH AVE, NEW YORK, NY 10065-5802
(212) 772-3220
(212) 772-3442
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CERT# 2419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERT# 2419
AMBULATORY ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.
NY
Enumeration date
11/12/2014
Last updated
11/12/2014
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