Organization
BROOKLYN ENDOSCOPY AND AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN GETTENBERG (EXCECUTIVE DIRECTOR)
(718) 336-9100
Entity
Organization
Contact information
Practice address
1630 E 14TH ST, BROOKLYN, NY 11229-1104
(718) 336-9100
(718) 336-2328
Mailing address
1630 E 14TH ST, BROOKLYN, NY 11229-1104
(718) 336-9100
(718) 336-2328
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7001115R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02567348
—
NY
Enumeration date
01/26/2006
Last updated
08/22/2020
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