NPI: 1811505100 · ROCKAWAY PARK, NY 11694 · Ambulatory Surgical Clinic/Center · NPI assigned 07/22/2020
| Authorized Official | JAMIL, SHIBRAH (PRESIDENT) |
| NPI Enumeration Date | 07/22/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $768.00 |
| 2022 | 12 | $803.00 |
| 2023 | 52 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00811 | 77 | 77 | $5K |