# GRAMERCY OBS FACILITY LLC

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

## Provider details

- **NPI number:** 1114245875
- **Authorized official:** DR. MARC S MOSER DPM (OWNER)
- **Authorized official phone:** (212) 889-1380

## Contact information

- **Practice address:** 216 E 23RD ST, NEW YORK, NY 10010-4605
- **Practice address phone:** (212) 889-1380
- **Practice address fax:** (212) 686-2830
- **Mailing address:** 216 E 23RD ST, NEW YORK, NY 10010-4605
- **Mailing address phone:** (212) 889-1380
- **Mailing address fax:** (212) 686-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | N003197-1 | NY | Yes |

## Other

- **Enumeration date:** 05/05/2010
- **Last updated:** 05/05/2010
