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Organization
EAST 78 STREET MEDICAL SERVICES PC
Active
Organization
EAST 78 STREET MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT MARC LAUTIN M.D. (CEO)
(212) 535-0229
Entity
Organization
Contact information
Practice address
885 PARK AVE, 1C, NEW YORK, NY 10075-0325
(212) 535-0229
(212) 734-3192
Mailing address
885 PARK AVE, 1C, NEW YORK, NY 10075-0325
(212) 535-0229
(212) 734-3192
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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