# COLUMBIA EAST SIDE AMBULATORY SURGERY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003154295
- **Authorized official:** DARRICK E ANTELL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 988-0463

## Contact information

- **Practice address:** 80 EAST 77TH STREET, \#1B, NEW YORK, NY 10075
- **Practice address phone:** (212) 988-0463
- **Practice address fax:** (212) 988-0527
- **Mailing address:** 80 EAST 77TH STREET, \#1B, NEW YORK, NY 10075
- **Mailing address phone:** (212) 988-0463
- **Mailing address fax:** (212) 988-0527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 161860 | NY | Yes |

## Other

- **Enumeration date:** 01/22/2013
- **Last updated:** 01/22/2013