Organization
EAST SUMMIT MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TIN (ADMINISTRATOR)
(917) 336-8422
Entity
Organization
Contact information
Practice address
40 BOWERY # GROUND, NEW YORK, NY 10013-4801
(646) 609-6138
Mailing address
7116 GRAND AVE, MASPETH, NY 11378-1823
(646) 609-6138
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
12/06/2022
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