Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X | |||
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology |
| NPI Number | 1003096090 |
| LBN Legal business name | CORTLANDT ENDOSCOPY OBS LLP |
| Authorized official | HERMAN KLEINBAUM - (PHYSICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/07/2007 |
| Last updated | 07/21/2022 - About 4 years ago |
| Identifiers | n/a |
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