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Medicl Facility ID: 10065829471529797398

Facility Business Name: AVICENNA ASC INC ( BRONX, NY )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id10065829471529797398
Facility NameAVICENNA ASC INC
Address Line2522 HUGHES AVE
CityBRONX
StateNY
Zip10458
TypeHospital
NPI Number1619398542
Provider Id33C0001154