Provider Demographics
NPI:1033402367
Name:NEW YORK MEDICAL OFFICE BASED SURGERY PC
Entity Type:Organization
Organization Name:NEW YORK MEDICAL OFFICE BASED SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZENAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUELLES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-307-1345
Mailing Address - Street 1:595 STEWART AVE
Mailing Address - Street 2:SUITE 750
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4787
Mailing Address - Country:US
Mailing Address - Phone:516-307-1345
Mailing Address - Fax:
Practice Address - Street 1:20801 NORTHERN BLVD
Practice Address - Street 2:3RD FLOOR REAR
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3118
Practice Address - Country:US
Practice Address - Phone:718-229-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY166048261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical