Organization
CRESCENT ENDOSCOPY PC
Active
Organization
CRESCENT ENDOSCOPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMANUEL LEONIDAS KOUROUPOS M.D (MD)
(718) 204-1100
Entity
Organization
Contact information
Practice address
2747 CRESCENT ST, SUITE 206, ASTORIA, NY 11102-3142
(718) 204-1100
(718) 204-2049
Mailing address
2747 CRESCENT ST, SUITE 206, ASTORIA, NY 11102-3142
(718) 204-1100
(718) 204-2049
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
155527
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00869470
—
NY
Enumeration date
12/11/2013
Last updated
12/11/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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