969 PARK SURGICAL SUITE PLLC; NPI #1851251896

Contact Information

969 PARK SURGICAL SUITE PLLC

969 PARK AVE STE 1F
NEW YORK, NY 10028-0322

Phone: 917-382-4544
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for 969 PARK SURGICAL SUITE PLLC

NPI Number	`1851251896`
LBN Legal business name	969 PARK SURGICAL SUITE PLLC
Authorized official	AVIVA PREMINGER - (MEDICAL DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/13/2025
Last updated	03/18/2026 - About 3 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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