Provider Demographics
NPI:1740422468
Name:MANHASSET CENTER INC
Entity Type:Organization
Organization Name:MANHASSET CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-868-6914
Mailing Address - Street 1:1210 NORTHERN BLVD
Mailing Address - Street 2:SURGICAL STE 202
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3018
Mailing Address - Country:US
Mailing Address - Phone:516-869-6200
Mailing Address - Fax:516-869-8714
Practice Address - Street 1:1210 NORTHERN BLVD
Practice Address - Street 2:SURGICAL STE 202
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3018
Practice Address - Country:US
Practice Address - Phone:516-869-6200
Practice Address - Fax:516-869-8714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2122261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical