Organization
VICTORYENDOSCOPYUNIT,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALLAN SHAPS M.D. (DIRECTOR)
(718) 761-4948
Entity
Organization
Contact information
Practice address
2281 VICTORY BLVD, STATEN ISLAND, NY 10314-6625
(718) 761-4948
(718) 698-7746
Mailing address
2281 VICTORY BLVD, STATEN ISLAND, NY 10314-6625
(718) 761-4948
(718) 698-7746
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
119659
NY
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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