CSR OUTPATIENT MEDICAL SERVICES LLC NPI 1093149650

NPI Information

NPI: 1093149650
Provider Name: CSR OUTPATIENT MEDICAL SERVICES, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
585 BROADWAY
MASSAPEQUA, NY
ZIP 11758
Phone: (516) 797-1234
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CSR OUTPATIENT MEDICAL SERVICES, LLC is an ambulatory surgical clinic center in Massapequa, NY. CSR OUTPATIENT MEDICAL SERVICES, LLC NPI is 1093149650. The provider is registered as an organization entity type.

The provider's business location address is:

585 BROADWAY
MASSAPEQUA, NY
ZIP 11758-023
Phone: (516) 797-1234
Fax: (516) 797-1932

The provider's authorized official is Charles Miceli .
The authorized official title is Ceo and has the following contact phone number (516) 797-1234.

The enumeration date for this NPI number is 8/30/2013 and was last updated on 8/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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