# ENDOSCOPIC DIAGNOSTIC & TREATMENT CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710904701
- **Authorized official:** MRS. LISA DOWD (OFFICE MANAGER)
- **Authorized official phone:** (718) 748-5219

## Contact information

- **Practice address:** 560 BAY RIDGE PKWY, BROOKLYN, NY 11209-3310
- **Practice address phone:** (718) 748-5219
- **Practice address fax:** (718) 439-4873
- **Mailing address:** 560 BAY RIDGE PKWY, BROOKLYN, NY 11209-3310
- **Mailing address phone:** (718) 748-5219
- **Mailing address fax:** (718) 439-4873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7001122R | NY | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 08/16/2013