| New York Endoscopy Center, Llc | |
|
2 Gannett Drive Ste 104 White Plains NY 10604-3404 | |
| (914) 683-1619 | |
| (914) 372-9900 |
| Full Name | New York Endoscopy Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Gannett Drive, White Plains, New York |
| Authorized Official Name and Position | Alfred Roston (PARTNER) |
| Authorized Official Contact | 9146831619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Endoscopy Center, Llc 2 Gannett Drive Ste 104 White Plains NY 10604-3404 Ph: (914) 683-1619 | New York Endoscopy Center, Llc 2 Gannett Drive Ste 104 White Plains NY 10604-3404 Ph: (914) 683-1619 |
| NPI Number | 1306089180 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 05/31/2011 |
| Medicare PECOS PAC ID | 7618155615 |
|---|---|
| Medicare Enrollment ID | O20110622000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306089180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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