Provider Demographics
NPI:1659768810
Name:ASC OF NEW YORK, LLC
Entity Type:Organization
Organization Name:ASC OF NEW YORK, LLC
Other - Org Name:AFFORDABLE SENIOR CARE OF NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LASZLO
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-851-0325
Mailing Address - Street 1:338 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3168
Mailing Address - Country:US
Mailing Address - Phone:718-851-0325
Mailing Address - Fax:718-853-3512
Practice Address - Street 1:338 E 5TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3168
Practice Address - Country:US
Practice Address - Phone:718-851-0325
Practice Address - Fax:718-853-3512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1946L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health