# MID-BRONX ENDOSCOPY CENTER LLC

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

## Provider details

- **NPI number:** 1023551413
- **Authorized official:** CELINE VASQUEZ (ADMINISTRATOR)
- **Authorized official phone:** (917) 791-6004

## Contact information

- **Practice address:** 51 WEST BURNSIDE AVE, BRONX, NY 10453-4038
- **Practice address phone:** (917) 791-6004
- **Practice address fax:** (917) 720-3998
- **Mailing address:** 51 W BURNSIDE AVE, BRONX, NY 10453-4037
- **Mailing address phone:** (971) 791-6004
- **Mailing address fax:** (917) 720-3998

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2016
- **Last updated:** 11/04/2025
