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General NPI Number Information
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NPI Number | 1073569562
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Entity Type | Organization
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Legal Business Name | GRAMERCY SURGERY CENTER, INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 380 2ND AVE 10TH FLOOR, SUITE 1000
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 212-254-3570
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Fax | 212-254-3572
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Provider Business Mailing Address
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Address Line | 380 2ND AVE 10TH FLOOR, SUITE 1000
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 212-254-3570
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Fax | 212-254-3572
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Authorized Official
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Title or Position | CEO
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Name | MR. AUSTIN F. CHENG
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Credential | ESQ.
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Telephone | 212-254-3570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 7002183R
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License Number State | NY
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