Organization
ACCREDITED ENDOSCOPY SERVICES OBS, PC
Active
Organization
ACCREDITED ENDOSCOPY SERVICES OBS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL COSTABLE M.D. (PRESIDENT)
(516) 673-4801
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE, STE E240, NEW HYDE PARK, NY 11042-1011
(516) 673-4801
(516) 673-4804
Mailing address
2001 MARCUS AVE, STE E240, NEW HYDE PARK, NY 11042-1011
(516) 673-4801
(516) 673-4804
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
08/29/2007
Update your record
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