Organization
TRIBOROUGH ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GLADSTEIN MD (OWNER)
(718) 382-7900
Entity
Organization
Contact information
Practice address
550 E 180TH ST, BRONX, NY 10457-3304
(718) 382-7900
(718) 382-7901
Mailing address
2076 E 13TH ST, BROOKLYN, NY 11229-3304
(718) 382-7900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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