Organization Active NPI

Advanced Surgical Care, PC

  • Specialist
  • Cornwall, NY
National Provider Identifier
1255524898
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
217204-1 Issued in NY
Legal business name
ADVANCED SURGICAL CARE, PC
Practice address
21 Laurel Ave
Suite 210
Cornwall, NY 12518-1469
Phone
(845) 534-0008
Fax
(845) 534-0018
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David M Harrison, MDNPI 1427157478
Title
Vice President
Phone
(845) 534-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 217204-1 NY Primary

Addresses

Primary practice location

21 Laurel Ave
Suite 210
Cornwall, NY 12518-1469

Mailing address

21 Laurel Ave
Suite 210
Cornwall, NY 12518-1481
Phone (845) 534-0008

National Provider Directory

National Provider Directory

Locations

21 Laurel Ave
Ste 210
Cornwall, NY 12518
Phone (845) 534-0008

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1255524898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LAUREL AVE",
            "address_2": "SUITE 210",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181481",
            "telephone_number": "845-534-0008",
            "fax_number": "845-534-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LAUREL AVE",
            "address_2": "SUITE 210",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181469",
            "telephone_number": "845-534-0008",
            "fax_number": "845-534-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "845-534-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "217204-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.