Provider Demographics
NPI:1831616671
Name:CENTRAL PARK GASTROINTESTINAL ENDOSCOPY, PC
Entity type:Organization
Organization Name:CENTRAL PARK GASTROINTESTINAL ENDOSCOPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
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:
Mailing Address - Fax:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3262261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3262OtherAMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY FACILITIES, INC.