Organization
COLISEUM SURGICAL & MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC MOORE MD (SURGEON)
(212) 247-6575
Entity
Organization
Contact information
Practice address
30 W 60TH ST, SUITE 1H, NEW YORK, NY 10023-7906
(212) 247-6575
(212) 582-9461
Mailing address
503 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 426-6864
(845) 356-5312
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
153732
NY
Other
Enumeration date
12/22/2006
Last updated
02/20/2009
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