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Organization
79TH STREET ENDOSCOPY P.L.L.C.
Active
Organization
79TH STREET ENDOSCOPY P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE B COHEN M.D (PRESIDENT)
(212) 996-6633
Entity
Organization
Contact information
Practice address
311 E 79TH ST, SUITE 2A, NEW YORK, NY 10075-0999
(212) 996-6633
(212) 996-6677
Mailing address
311 E 79TH ST, SUITE 2A, NEW YORK, NY 10075-0999
(212) 996-6633
(212) 996-6677
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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