Individual
DR. BAS GROOT KOERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, DEPARTMENT OF SURGERY, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1233 YORK AVE, APARTMENT 7N, NEW YORK, NY 10065-6306
(917) 797-6281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
P84472
NY
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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