Organization
EAST 78 STREET MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT MARC LAUTIN M.D. (CEO)
(212) 535-0229
Entity
Organization
Contact information
Practice address
885 PARK AVE, 1C, NEW YORK, NY 10075-0325
(212) 535-0229
(212) 734-3192
Mailing address
885 PARK AVE, 1C, NEW YORK, NY 10075-0325
(212) 535-0229
(212) 734-3192
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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