Organization
COLUMBIA EAST SIDE AMBULATORY SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRICK E ANTELL MD (MEDICAL DIRECTOR)
(212) 988-0463
Entity
Organization
Contact information
Practice address
80 EAST 77TH STREET, #1B, NEW YORK, NY 10075
(212) 988-0463
(212) 988-0527
Mailing address
80 EAST 77TH STREET, #1B, NEW YORK, NY 10075
(212) 988-0463
(212) 988-0527
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
161860
NY
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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