Organization
MATARASSO SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN MATARASSO MD, FACS (OWNER)
(212) 249-7500
Entity
Organization
Contact information
Practice address
1009 PARK AVE, NEW YORK, NY 10028-0936
(212) 249-7500
(212) 628-5000
Mailing address
1009 PARK AVE, NEW YORK, NY 10028-0936
(212) 249-7500
(212) 628-5000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
142557
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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