Organization
NORTH SHORE SURGI-CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA ANNE BRUNO (BILLING MANAGER)
(631) 864-6891
Entity
Organization
Contact information
Practice address
989 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-7100
(631) 864-7129
Mailing address
989 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-7100
(631) 864-7129
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
5157204R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01178321
—
NY
Enumeration date
07/26/2006
Last updated
01/13/2010
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