Provider Demographics
NPI:1972022747
Name:AINSWORTH HEALTH, LLC
Entity Type:Organization
Organization Name:AINSWORTH HEALTH, LLC
Other - Org Name:AINSWORTH SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-359-7246
Mailing Address - Street 1:1103 STEWART AVENUE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530
Mailing Address - Country:US
Mailing Address - Phone:516-243-7775
Mailing Address - Fax:516-874-5766
Practice Address - Street 1:1103 STEWART AVENUE
Practice Address - Street 2:SUITE 301
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-243-7775
Practice Address - Fax:516-874-5766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain