Provider Demographics
NPI:1164770871
Name:IRVING PL SURGERY AND WELLNESS CTR
Entity Type:Organization
Organization Name:IRVING PL SURGERY AND WELLNESS CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAWHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-674-2484
Mailing Address - Street 1:67 IRVING PL, 10TH FL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2252
Mailing Address - Country:US
Mailing Address - Phone:212-674-2484
Mailing Address - Fax:212-674-2486
Practice Address - Street 1:67 IRVING PL, 10TH FL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2252
Practice Address - Country:US
Practice Address - Phone:212-674-2484
Practice Address - Fax:212-674-2486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154748207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty