# EAST 78 STREET MEDICAL SERVICES PC

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

## Provider details

- **NPI number:** 1497130322
- **Authorized official:** DR. EVERETT MARC LAUTIN M.D. (CEO)
- **Authorized official phone:** (212) 535-0229

## Contact information

- **Practice address:** 885 PARK AVE, 1C, NEW YORK, NY 10075-0325
- **Practice address phone:** (212) 535-0229
- **Practice address fax:** (212) 734-3192
- **Mailing address:** 885 PARK AVE, 1C, NEW YORK, NY 10075-0325
- **Mailing address phone:** (212) 535-0229
- **Mailing address fax:** (212) 734-3192

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/21/2015