# LOCKWOOD ENDOSCOPY AND OFFICE BASED SURGERY PC

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

## Provider details

- **NPI number:** 1124353271
- **Authorized official:** DR. MALA MURTHY BALAKUMAR MD, FACS (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (914) 235-2329

## Contact information

- **Practice address:** 140 LOCKWOOD AVE, SUITE 210, NEW ROCHELLE, NY 10801-4915
- **Practice address phone:** (914) 235-2329
- **Practice address fax:** (914) 355-2490
- **Mailing address:** 140 LOCKWOOD AVE, SUITE 210, NEW ROCHELLE, NY 10801-4915
- **Mailing address phone:** (914) 235-2329
- **Mailing address fax:** (914) 355-2490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 3399 | NY | Yes |

## Other

- **Enumeration date:** 10/07/2009
- **Last updated:** 10/07/2009