# HEALTH AND ENDURANCE MEDICAL P.C.

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

## Provider details

- **NPI number:** 1801044821
- **Authorized official:** DR. SERGEI KOCHLATYI MD (PRESIDENT)
- **Authorized official phone:** (917) 974-7172

## Contact information

- **Practice address:** 110 5TH ST, CRESSKILL, NJ 07626-2002
- **Practice address phone:** (917) 974-7172
- **Practice address fax:** (201) 313-8888
- **Mailing address:** PO BOX 519, TENAFLY, NJ 07670-0519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 01/19/2016