Organization
EAST 70TH STREET MEDICAL PRACTICE, P.C.
Active
Organization
EAST 70TH STREET MEDICAL PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DIGIOVANNI M.D. (PRESIDENT/CEO)
(212) 879-1705
Entity
Organization
Contact information
Practice address
202 E 70TH ST, NEW YORK, NY 10021-5405
(212) 879-1705
Mailing address
202 E 70TH ST, NEW YORK, NY 10021-5405
(212) 879-1705
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CERT# 4389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4389
AMERICAN ASSOC. FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.
NY
Enumeration date
04/23/2012
Last updated
04/23/2012
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