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
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