Organization · Type 2 NPI
Coddington Office Based Surgery, PC
Ambulatory Surgical Clinic/Center · Staten Island, NY
NPI number
1114153889
Active
Practice location
5 Coddington Ave, Suite 103
Staten Island, NY 10306-4305
Fax (718) 351-1271
Mailing address
5 Coddington Avenue, Suite 103
Staten Island, NY 10306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1114153889
Coddington Office Based Surgery, PC's National Provider Identifier is 1114153889, issued on Jun 8, 2009. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Staten Island, NY. The record was last updated on Jun 8, 2009.