885 Operatory INC
Clinic/Center in Great Neck, NY. Organization (NPI-2).
NPI number1982724845
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982724845
- Entity type
- Organization (NPI-2)
- Legal business name
- 885 Operatory INC
- Organization subpart
- No
- Enumeration date
- Apr 1, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 177419 | NY | Yes |
Practice location
885 Northern BlvdGreat Neck, NY 11021-5303
Phone 516-487-6700 · Fax 516-487-6877
Mailing address
885 Northern BlvdGreat Neck, NY 11021-5303
Phone 516-487-6700 · Fax 516-487-6877
Authorized official
Alan M Freedman
President
5164876700
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