NPI | 1982206728 |
---|---|
Doing Business As | LEGENT ASC MED CENTER |
Entity Type | Organization |
Authorized Contact | JORDAN FOWLER President & CEO 917-216-6285 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2020-11-16 |
Last Update Date | 2023-08-02 |