Organization
NY SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization
Contact information
Practice address
2322 30TH AVE, ASTORIA, NY 11102-3255
(631) 827-8159
Mailing address
2322 30TH AVE, ASTORIA, NY 11102-3255
(631) 827-8159
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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