Organization
EMPIRE CENTER FOR SPECIAL SURGERY, LLC
Active
Other names
Empire Center for Special Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON D KOFINAS (BOARD CHAIR)
(718) 682-8180
Entity
Organization
Contact information
Practice address
4855 HYLAN BLVD, STATEN ISLAND, NY 10312-6319
(718) 804-5422
Mailing address
65 BROADWAY FL 14, NEW YORK, NY 10006-2516
(718) 682-8180
(718) 682-8181
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
01/09/2025
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