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Organization

FOSTER ENDOSCOPY OBS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAM WEISSMAN MD (MEDICAL DIRECTOR)
(718) 854-5100
Entity
Organization

Contact information

Practice address
202 FOSTER AVE, BROOKLYN, NY 11230-2119
(718) 854-5100
Mailing address
202 FOSTER AVE, BROOKLYN, NY 11230-2119
(718) 854-5100

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
11/18/2009
Last updated
11/18/2009
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