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Organization

CENTURY GI MEDICAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE HAROUTIOUNIAN M.D. (PRESIDENT)
(212) 307-1017
Entity
Organization

Contact information

Practice address
25 CENTRAL PARK W, SUITE 1-Z, NEW YORK, NY 10023-7253
(212) 307-1017
Mailing address
25 CENTRAL PARK W, SUITE 1-Z, NEW YORK, NY 10023-7253

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CERT# 3272
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3272
AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.
NY
Enumeration date
01/13/2017
Last updated
03/16/2017
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