Provider Demographics
NPI:1558991570
Name:INVO SURGICAL PAVILION LLC
Entity Type:Organization
Organization Name:INVO SURGICAL PAVILION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NILUFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GULEYUPOGLU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-679-1100
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-0326
Mailing Address - Country:US
Mailing Address - Phone:646-679-1100
Mailing Address - Fax:888-546-2112
Practice Address - Street 1:20 E 46TH ST RM 304
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-9286
Practice Address - Country:US
Practice Address - Phone:646-679-1100
Practice Address - Fax:888-546-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center