Organization
KIPS BAY ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX SHERMAN MD (MEDICA DIRECTOR)
(212) 889-5477
Entity
Organization
Contact information
Practice address
535 2ND AVE, NEW YORK, NY 10016-8275
(212) 889-5477
(212) 889-0517
Mailing address
535 2ND AVE, NEW YORK, NY 10016-8275
(212) 889-5477
(212) 889-0517
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
012454B
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02688228
—
NY
Enumeration date
06/01/2005
Last updated
01/24/2022
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