Provider Demographics
NPI:1841341039
Name:MID-MANHATTAN SURGI-CENTER, INC.
Entity type:Organization
Organization Name:MID-MANHATTAN SURGI-CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-505-6550
Mailing Address - Street 1:61 W 23RD ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4205
Mailing Address - Country:US
Mailing Address - Phone:212-367-7626
Mailing Address - Fax:646-336-6674
Practice Address - Street 1:61 W 23RD ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4205
Practice Address - Country:US
Practice Address - Phone:212-367-7626
Practice Address - Fax:646-336-6674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7002167R261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003645OtherBCBS
NY6476364OtherCIGNA
NY7920121OtherAETNA FEE FOR SERVICE
NYA2052396OtherOXFORD
NY000902OtherHORIZON
NY490004960OtherMEDICARE RAILROAD
NYIC6003OtherHEALTH NET
NY02052133Medicaid
NY2333432OtherAETNA HMO
NY=========OtherUNITED HEALTHCARE
NYIC6003OtherHEALTH NET
NY003645OtherBCBS
NY02052133Medicaid
NY=========OtherMULTIPLAN
NYZ62301Medicare UPIN