| Suffolk Ambulatory Surgery Facility | |
|
400 Townline Rd Suite 135 Hauppauge NY 11788-2838 | |
| (631) 863-2060 | |
| (631) 360-0087 |
| Full Name | Suffolk Ambulatory Surgery Facility |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 400 Townline Rd, Hauppauge, New York |
| Authorized Official Name and Position | Lynn Pierri (CEO) |
| Authorized Official Contact | 6318632060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Ambulatory Surgery Facility Po Box 5341 400 Townline Road Hauppauge NY 11788-0116 Ph: (631) 863-2060 | Suffolk Ambulatory Surgery Facility 400 Townline Rd Suite 135 Hauppauge NY 11788-2838 Ph: (631) 863-2060 |
| NPI Number | 1881714905 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881714905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 037333-1 (New York) | Primary |
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