| NPI | 1023358116 |
|---|---|
| Doing Business As | MAPLE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWARD HETRICK Administrator 845-770-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MI 1030000042) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2015-08-19 |