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1033815915
STATEN ISLAND GSC LLC
STATEN ISLAND, NY
NPI
1033815915
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Entity Type
Organization
Authorized Contact
ALEXANDER BRUN
Vice President
718-450-4870
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
STATEN ISLAND GSC LLC
2043 RICHMOND AVE FL 1
STATEN ISLAND, NY 10314-3964
Phone number: 718-975-7574
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Mailing Address
STATEN ISLAND GSC LLC
2043 RICHMOND AVE FL 1
STATEN ISLAND, NY 10314-3964
Phone number: 718-975-7574
Copy
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