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Organization

UWS ASC LLC

Active
Other names
Upper West Side Endoscopy
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD SEARLES (MEMBER MANAGER)
(914) 677-0200
Entity
Organization

Contact information

Practice address
230 W 74TH ST, NEW YORK, NY 10023-2107
(203) 894-2162
(914) 801-4664
Mailing address
230 W 74TH ST, NEW YORK, NY 10023-2107
(914) 677-0200

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7002820R
STATE LICENSE
NY
Enumeration date
01/12/2021
Last updated
09/15/2021
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