Lsa Surgery & Consultation PC
NPI #1134463409 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1134463409
- Entity Type
- Organization
- Organization Name
- Lsa Surgery & Consultation PC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Nov 26, 2012
- Last Updated
- Nov 26, 2012
Practice Location
- Address
- 145 PROSPECT ST
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-4493
- Phone
- (201) 444-4412
Authorized Official
- Name
- NINO J. CARNEVALE, M.D.
- Title
- PRESIDENT
- Phone
- (201) 444-4412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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