COLUMBIA EAST SIDE AMBULATORY SURGERY PC NPI 1003154295

NPI Information

COLUMBIA EAST SIDE AMBULATORY SURGERY, PC is an ambulatory surgical clinic center in New York, NY. COLUMBIA EAST SIDE AMBULATORY SURGERY, PC NPI is 1003154295. The provider is registered as an organization entity type.

The provider's business location address is:

80 EAST 77TH STREET
#1B
NEW YORK, NY
ZIP 10075
Phone: (212) 988-0463
Fax: (212) 988-0527

The provider's authorized official is Darrick E Antell .
The authorized official title is Medical Director and has the following contact phone number (212) 988-0463.

The CLIA number assigned to this NPI record is 33D2081999 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2013 and was last updated on 1/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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