33D0873339 CLIA NUMBER - ROBERT B COOPER

Laboratory Demographics

CLIA Number: 33D0873339

Facility Name: ROBERT B COOPER

Facility Address:
235 EAST 67TH STREET SUITE 203
NEW YORK, NY
ZIP 10065
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Facility Phone Number: 212 717-4967

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396783627

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name Field Value
CLIA Number 33D0873339
LAB Type Physician Office
Facility Name ROBERT B COOPER
Street 235 EAST 67TH STREET SUITE 203
City NEW YORK
State NY
ZIP 10065
Phone 212 717-4967
CertificateType 4
CertificateEffectiveDate 7/23/2023
CertificateExpirationDate 7/22/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024