EAST SIDE ENDOSCOPY LLC NPI 1720215320

NPI Information

NPI: 1720215320
Provider Name: EAST SIDE ENDOSCOPY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 33D1107354

Address:
380 2ND AVE
CONCOURSE A
NEW YORK, NY
ZIP 10010
Phone: (212) 375-1065
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EAST SIDE ENDOSCOPY LLC is an ambulatory surgical clinic center in New York, NY. EAST SIDE ENDOSCOPY LLC NPI is 1720215320. The provider is registered as an organization entity type.

The provider's business location address is:

380 2ND AVE
CONCOURSE A
NEW YORK, NY
ZIP 10010-615
Phone: (212) 375-1065
Fax: (212) 375-1069

The provider's authorized official is Sharon M Hohlfeld .
The authorized official title is Co-treasurer and has the following contact phone number (215) 589-9024.

The CLIA number assigned to this NPI record is 33D1107354 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2009 and was last updated on 4/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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