| Organization Name: | SUFFOLK SURGERY CENTER LLC |
| NPI Number: | 1265538151 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES A WALTERS (ADMINISTRATOR) |
| Mailing Address: | 1500 William Floyd Pkwy Shirley |
| State: | NY US |
| Postal Code: | 119671800 |
| Phone Number: | 6312059090 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 06/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 5151207R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |