Columbia East Side Ambulatory Surgery, PC

NPI #1003154295 in New York, New York

Provider Information

NPI Number: 1003154295
Entity Type: Organization
Organization Name: Columbia East Side Ambulatory Surgery, PC
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Jan 22, 2013
Last Updated: Jan 22, 2013

Practice Location

Address: 80 EAST 77TH STREET
Address 2: #1B
City: New York
State: New York
ZIP Code: 10075
Phone: (212) 988-0463

Authorized Official

Name: DARRICK E ANTELL, MD
Title: MEDICAL DIRECTOR
Phone: (212) 988-0463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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