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NPI Code Detail

MEDICARE: SHEEPSHEAD BAY SURGERY CENTER, INC.

MEDICARE: SHEEPSHEAD BAY SURGERY CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center7001288RNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710979109
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHEEPSHEAD BAY SURGERY CENTER, INC.
Provider Business Mailing Address
First Line : 2269 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3103
Country : US
Telephone Number : 718-787-0387
Fax Number : 718-787-0388
Provider Business Practice Location Address
First Line : 2269 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3103
Country : US
Telephone Number : 718-787-0387
Fax Number : 718-787-0388
Authorized Official
Title or Position : MEDICAL DIRECTOR VICE PRESIDENT
Name : DR. DEBORAH SILBERMAN
Credential :
Telephone Number : 718-787-0387
Provider Enumeration Date : 08/22/2005
Last Update Date : 11/30/2017

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