Basic Information
| Provider Information | |||||||||
| NPI: | 1396002838 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OFRM OFFICE BASED SURGERY, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51 E 67TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100655949 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 51 E 67TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100655949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125355350 | ||||||||
| FaxNumber: | 2125355080 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2012 | ||||||||
| LastUpdateDate: | 04/23/2012 | ||||||||
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| AuthorizedOfficialLastName: | SCHMIDT-SAROSI | ||||||||
| AuthorizedOfficialFirstName: | CECILIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 2125355350 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA0006X | 131192 | NY | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Fertility Facility |
No ID Information.