Organization
HEALTH AND ENDURANCE MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGEI KOCHLATYI MD (PRESIDENT)
(917) 974-7172
Entity
Organization
Contact information
Practice address
110 5TH ST, CRESSKILL, NJ 07626-2002
(917) 974-7172
(201) 313-8888
Mailing address
PO BOX 519, TENAFLY, NJ 07670-0519
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
01/19/2016
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