EASTERN ORANGE AMBULATORY SURGERY CENTER, LLC (NPI# 1568583896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568583896 |
| Entity Type | Organization |
| Organization Name | EASTERN ORANGE AMBULATORY SURGERY CENTER, LLC |
| Practice Address |
21 Laurel Ave Suite 120 Cornwall NY 12518 |
| Practice Telephone | 8454587800 |
| Practice Fax Number | 8454587878 |
| Mailing Telephone | 8454587800 |
| Mailing Fax Number | 8454587878 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL SAYEGH (PRESIDENT) |
| Authorized Official Telephone | 8455612920 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
NY | Ambulatory Health Care Facilities |
| Street Address |
21 LAUREL AVE SUITE 120 |
| City | CORNWALL |
| State | NY |
| Zip Code | 12518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659339141 | Michael Salem Wahban Sayegh | Ophthalmology | 21 Laurel Ave, Suite 2020, Cornwall, NY 12518-1469 | 2006-05-03 |
| 1760874614 | Elena Julia Morales | Counselor | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2015-03-02 |
| 1497099493 | Lore S Hannes | Psychologist | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2012-11-15 |
| 1386905461 | Amanda Lee Dixon | Counselor | 21 Laurel Ave, Cornwall, NY 12518-1469 | 2012-06-05 |
| 1609141688 | Scott Newkirk | Psychologist | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2012-03-09 |
| 1316210008 | Aviva Tova Bashkowitz | Social Worker | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2012-02-11 |
| 1508143124 | Advanced Podiatry Associates of The Hudson Valley LLP | Podiatrist | 21 Laurel Ave, Suite 280, Cornwall, NY 12518-1469 | 2011-11-10 |
| 1518245984 | Lisa Marie Cardona | Counselor | 21 Laurel Ave, Cornwall, NY 12518-1469 | 2011-08-02 |
| 1184914475 | Erin Kramer Poole | Social Worker | 21 Laurel Ave, Suite 290, Cornwall, NY 12518-1469 | 2011-04-08 |
| 1851618540 | The Nitesurgeon Pllc | Surgery | 21 Laurel Ave, Suite 240, Cornwall, NY 12518-1469 | 2010-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883697 | Rose Ema Francine Dubreus Pierre | Registered Nurse | 40 Firth Street, Cornwall, NY 12518 | 2020-05-23 |
| 1255847406 | Casey Marianne Undersinger | Occupational Therapist | 340 Hudson Street, Cornwall, NY 12518 | 2017-12-26 |
| 1629287107 | Clifford James Russ | Dentist | 41 Ridge Road, Cornwall, NY 12518 | 2007-05-22 |
| 1740687474 | Carolann Frances Furchi | Psychologist | 186 Main Street, Cornwall, NY 12518 | 2014-11-24 |
| 1952661274 | Kirti Joseph | Student in an Organized Health Care Education/Training Program | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2012-05-21 |
| 1255564969 | Manita Sawhney | Internal Medicine | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2009-08-27 |
| 1134233497 | Prestige Physicians Services, Pllc | Family Medicine | 164 Willow Ave, Cornwall, NY 12518 | 2006-08-17 |
| 1417967514 | Nicholas George Bambino | Internal Medicine | 10 Elm St, Cornwall, NY 12518 | 2006-08-09 |
| 1306098447 | Roberta Ann Lewis | Speech-Language Pathologist | 398 Angola Rd, Cornwall, NY 12518-1002 | 2008-10-21 |
| 1083866164 | Melanie F Paquin | Community Health Worker | 18 Clarkwood Dr, Cornwall, NY 12518-1009 | 2008-10-21 |
| Find all providers in zip 12518 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.