FIFTH AVENUE SURGERY CENTER, LLC
Ambulatory Health at 5 Ave, New York, NY

License number
New York 7002195R
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. CHARLES J RAAB
Title: CHIEF FINANCIAL OFFICER
Phone: (212) 772-6667
Address
Address
1049 5Th Ave, New York, NY 10028
National Provider ID: 1235220682
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FIFTH AVENUE SURGERY CENTER, LLC

1049 5 Ave, New York, NY 10028

Industry:
Medical Doctor's Office
Doing business as:
FIFTH AVENUE ASC ACQUISITION, LLC<br>Fifth Avenue Surgery Center
Registration:
Jul 23, 2008
Phone:
(212) 772-6667 (Phone)
State ID:
3699447
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Nursing Directors:
Charlie Raap (Chief Executive Officer, Chief Financial Officer),Joseph J. Terrasi (Medical Director, Medical Doctor, Personnel Director),Kathleen Downes (Nursing Director),...
Agent:
Charles J. Raab,1049 5 Ave, New York, NY 10028 (Physical)
Categories:
Physicians & Surgeons

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