AVICENNA ASC INC.


Address: 2522 Hughes Ave, Bronx, NY 10458-5112
Phone: 7189331900

AVICENNA ASC INC. (NPI# 1619398542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619398542
Entity Type Organization
Organization Name AVICENNA ASC INC.
Practice Address 2522 Hughes Ave
Bronx
NY 10458-5112
Practice Telephone 7189331900
Practice Fax Number 7189331938
Mailing Telephone 7189331900
Mailing Fax Number 7189331938
Enumeration Date 2013-12-19
Last Update Date 2015-06-10
Authorized Official Name MR. SHAHRIAR DANESHVAR (CEO/ADMINISTRATOR)
Authorized Official Telephone 7189331900
Authorized Official Credential CASC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
NY Ambulatory Health Care Facilities

Office Location

Street Address 2522 HUGHES AVE
City BRONX
State NY
Zip Code 10458-5112

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1811235435 North Bronx Healthcare Network Clinic/Center 1400 Pelham Pkwy S Bay Parkway, Bronx, NY 10461-1119 2013-01-17
1306249453 Mark Fromer, LLC Clinic/Center 3130 Grand Concourse, B5, Bronx, NY 10458-1213 2014-10-03
1780810150 Ny Surgical & Anesthesia Suites PC Clinic/Center 3620 E Tremont Ave, Suite 102, Bronx, NY 10465-2038 2009-05-29
1104050517 Cean Surgical Plaza Clinic/Center 1200 Waters Pl, Suite 106, Bronx, NY 10461-2728 2009-05-13
1669644837 Uptown Healthcare Management, Inc. Clinic/Center 930 E Tremont Ave, Bronx, NY 10460-4304 2008-03-28
1376641670 Ambulatory Surgery Center of Greater New York, LLC Clinic/Center 1101 Pelham Pkwy N, Bronx, NY 10469-5411 2006-09-20
1336252402 Advanced Endoscopy Center LLC Clinic/Center 5500 Broadway, Suite A, Bronx, NY 10463-5203 2006-08-15
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Competitor

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City BRONX
Zip Code 10458

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Dataset Information

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.

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