Crescent Endoscopy PC
Clinic/Center, Endoscopy in Astoria, NY. Organization (NPI-2).
NPI number1619308038
StatusActive
Last updated in NPPESDec 11, 2013
Details
- NPI
- 1619308038
- Entity type
- Organization (NPI-2)
- Legal business name
- Crescent Endoscopy PC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2013
- Last updated
- Dec 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | 155527 | NY | Yes |
Practice location
2747 Crescent StSuite 206
Astoria, NY 11102-3142
Phone 718-204-1100 · Fax 718-204-2049
Mailing address
2747 Crescent StSuite 206
Astoria, NY 11102-3142
Phone 718-204-1100 · Fax 718-204-2049
Authorized official
Emanuel Leonidas Kouroupos
MD
7182041100
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