Aesthetic Pavilion Ambulatory Surgery Center Llc in Staten Island - Research

Aesthetic Pavilion Ambulatory Surgery Center Llc - NPI 1619172970

Aesthetic Pavilion Ambulatory Surgery Center Llc is a Research in Staten Island, New York. Aesthetic Pavilion Ambulatory Surgery Center Llc practices all healthcare services and medical treatments related to Research. The NPI Number for Aesthetic Pavilion Ambulatory Surgery Center Llc is 1619172970. The last update date is 2020-08-22.

Aesthetic Pavilion Ambulatory Surgery Center Llc's current location address is 2777 Hylan Blvd, Staten Island, New York. You can contact this provider via phone number 7189879165 and fax number 7189870305. The mailing address for Aesthetic Pavilion Ambulatory Surgery Center Llc is 2777 Hylan Blvd, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Aesthetic Pavilion Ambulatory Surgery Center Llc
Address 2777 Hylan Blvd, Staten Island, New York
Phone Number 7189879165
Fax Number 7189870305
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Decorato William John
Credentials MD
Telephone Number 7189879165

NPI Number Detail

NPI Number 1619172970
Provider Enumeration Date 2007-06-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2777 Hylan Blvd
City Staten Island
State New York (NY)
Post Code 103064660
Phone Number 7189879165
Fax Number 7189870305

Provider's Primary Taxonomy Detail

Speciality Research
Taxonomy 261Qr1100X
Definition:
Conducts clinical trials and experimental treatments.

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FAQs about Aesthetic Pavilion Ambulatory Surgery Center Llc

What is the unique 10-digit identifier code assigned to Aesthetic Pavilion Ambulatory Surgery Center Llc by the Centers for Medicare & Medicaid Services?

The Aesthetic Pavilion Ambulatory Surgery Center Llc has been issued the NPI (National Provider Identifier) 1619172970 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Aesthetic Pavilion Ambulatory Surgery Center Llc is located?

The Aesthetic Pavilion Ambulatory Surgery Center Llc is situated at the following address: 2777 Hylan Blvd, Staten Island, NY, 103064660.

What is Aesthetic Pavilion Ambulatory Surgery Center Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Aesthetic Pavilion Ambulatory Surgery Center Llc's area of specialization is Research, and the corresponding taxonomy code that categorizes this field of practice is 261Qr1100X.

On what date did Aesthetic Pavilion Ambulatory Surgery Center Llc receive its 1619172970 assignment from the Centers for Medicare & Medicaid Services?

The Aesthetic Pavilion Ambulatory Surgery Center Llc was assigned its 1619172970 on 2007-06-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Aesthetic Pavilion Ambulatory Surgery Center Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Aesthetic Pavilion Ambulatory Surgery Center Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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