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NPI Code Detail

MEDICARE: OFRM OFFICE BASED SURGERY PLLC

MEDICARE: OFRM OFFICE BASED SURGERY PLLC
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/Center136751NY

General Provider Information

NPI Number : 1053678011
Entity Type Code : Organization
Provider Name (Legal Business Name) : OFRM OFFICE BASED SURGERY PLLC
Provider Business Mailing Address
First Line : 51 E 67TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-5949
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 51 E 67TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-5949
Country : US
Telephone Number : 212-535-5350
Fax Number : 212-535-5080
Authorized Official
Title or Position : MEMBER
Name : PETER SAROSI
Credential : MD
Telephone Number : 212-535-5350
Provider Enumeration Date : 04/16/2012
Last Update Date : 04/17/2012

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