Organization
AUSTIN FP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE J DALY M.D. (PRESIDENT)
(516) 227-3377
Entity
Organization
Contact information
Practice address
901 STEWART AVE, SUITE 201, GARDEN CITY, NY 11530-4893
(516) 227-3377
Mailing address
901 STEWART AVE, SUITE 201, GARDEN CITY, NY 11530-4893
(516) 227-3377
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
176620
NY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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