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General NPI Number Information
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NPI Number | 1396265377
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Entity Type | Organization
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Legal Business Name | GREENWICH VILLAGE AMBULATORY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 200 W 13TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-7702
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Country | US
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Telephone | 929-292-3700
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Fax | 646-465-3203
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Provider Business Mailing Address
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Address Line | 200 W 13TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-7702
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Country | US
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Telephone | 929-292-3700
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Fax | 646-465-3203
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Authorized Official
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Title or Position | DIRECTOR
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Name | SUSAN FITZPATRICK
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Credential | RN
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Telephone | 516-823-8816
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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 |
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License Number State |
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