Organization
EMPIRE STATE COLON & RECTAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANS C BURKHOLDER MD (SOLE MEMBER)
(718) 676-2449
Entity
Organization
Contact information
Practice address
1928 BAY AVE, SUITE 200, BROOKLYN, NY 11230-6214
(718) 676-2449
(718) 676-2450
Mailing address
1928 BAY AVE, SUITE 200, BROOKLYN, NY 11230-6214
(718) 676-2449
(718) 676-2450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
275077
NY
Other
Enumeration date
11/24/2014
Last updated
02/27/2015
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