Provider Demographics
NPI:1336524784
Name:EAST 68TH STREET GASTROENTEROLOGICAL AMBULATORY ENDOSCOPY, P.C.
Entity Type:Organization
Organization Name:EAST 68TH STREET GASTROENTEROLOGICAL AMBULATORY ENDOSCOPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEYER
Authorized Official - Middle Name:N
Authorized Official - Last Name:SOLNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-570-6945
Mailing Address - Street 1:1 E 68TH ST STE 1E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4905
Mailing Address - Country:US
Mailing Address - Phone:212-570-6945
Mailing Address - Fax:212-472-7687
Practice Address - Street 1:1 E 68TH ST STE 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4905
Practice Address - Country:US
Practice Address - Phone:212-570-6945
Practice Address - Fax:212-472-7687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCERT# 3262174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3262OtherAMBULATORY ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILTIES, INC.