Healthcare Provider Details

I. General information

NPI: 1346792165
Provider Name (Legal Business Name): HSS ASC OF MANHATTAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2016
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 2ND AVE
NEW YORK NY
10065-6705
US

IV. Provider business mailing address

535 E 70TH ST C/O HOSPITAL FOR SPECIAL SURGERY
NEW YORK NY
10021-4823
US

V. Phone/Fax

Practice location:
  • Phone: 212-606-1236
  • Fax:
Mailing address:
  • Phone: 212-606-1236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MARC GOULD
Title or Position: ASSISTANT TREASURER
Credential:
Phone: 212-606-1323