Organization
CSR OUTPATIENT MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY A FOX M.D. (DIRECTOR)
(516) 797-2146
Entity
Organization
Contact information
Practice address
585 BROADWAY, MASSAPEQUA, NY 11758-5023
(516) 797-1234
Mailing address
585 BROADWAY, MASSAPEQUA, NY 11758-5023
(516) 797-1234
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NY
Other
Enumeration date
01/21/2010
Last updated
11/15/2010
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