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Contact Information

AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC
2777 HYLAN BLVD
STATEN ISLAND, NY10306-4660
 Phone: 718-987-9165
 Fax: 718-987-0305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Research

261QR1100X
Indicates primary specialty

NPI Profile & details for AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC

NPI # 1619172970
LBN Legal business name AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC
Authorized official JOHN DECORATO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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