CSR OUTPATIENT MEDICAL SERVICES, LLC – NPI #1093149650
Clinic/Center

CSR OUTPATIENT MEDICAL SERVICES, LLC is an AHC clinic located in MASSAPEQUA, NY. NPPES has assigned the NPI number 1093149650 to CSR OUTPATIENT MEDICAL SERVICES, LLC on August 30, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CSR OUTPATIENT MEDICAL SERVICES, LLC below.

NPI Profile for
CSR OUTPATIENT MEDICAL SERVICES, LLC

NPI Number
1093149650
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CSR OUTPATIENT MEDICAL SERVICES, LLC
Primary location
585 BROADWAY
MASSAPEQUA, NY 11758-5023
Phone: (516) 797-1234 Fax: (516) 797-1932
Mailing address
302 MANOR RD
STATEN ISLAND, NY 10314-2408
Phone: (718) 815-1000 Fax: (718) 815-8122
Organization Subpart
No
Authorized Official
CHARLES MICELI
CEO
Phone: (516) 797-1234
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.