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Richmond Surgical Center Corp.

Clinic/Center, Ambulatory Surgical in Staten Island, NY. Organization (NPI-2).

NPI number1134477508
StatusActive
Last updated in NPPESAug 16, 2012

Details

NPI
1134477508
Entity type
Organization (NPI-2)
Legal business name
Richmond Surgical Center Corp.
Organization subpart
No
Enumeration date
Aug 16, 2012
Last updated
Aug 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical––Yes

Practice location

2066 Richmond Ave
Staten Island, NY 10314-3916

Phone 718-608-1111

Mailing address

2066 Richmond Ave
Staten Island, NY 10314-3916

Authorized official

George Smith
President
7186081111

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