| Organization Name: | FOXHALL AMBULATORY SURGERY CENTER |
| NPI Number: | 1467762872 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD J POLICASTRO (ADMINISTRATOR) |
| Mailing Address: | 741 Grant Ave Lake Katrine |
| State: | NY US |
| Postal Code: | 124495350 |
| Phone Number: | 8459436039 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2010 |
| NPI Last Update Date: | 10/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 5501211R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |