Provider Demographics
NPI:1205507738
Name:EAST COAST MEDICAL SERVICES PC
Entity type:Organization
Organization Name:EAST COAST MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ATAUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-634-9601
Mailing Address - Street 1:1888 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-3000
Mailing Address - Country:US
Mailing Address - Phone:917-634-9601
Mailing Address - Fax:347-227-1368
Practice Address - Street 1:1888 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-3000
Practice Address - Country:US
Practice Address - Phone:917-634-9601
Practice Address - Fax:347-227-1368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty