Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI # | 1366624140 |
| LBN Legal business name | DOUGLASTON ENDOSCOPY OBS PC |
| Authorized official | NEIL BRODSKY - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/03/2007 |
| Last updated | 02/25/2009 - About 17 years ago |
| Identifiers | n/a |
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