CRESCENT ENDOSCOPY PC; NPI #1619308038

Contact Information

CRESCENT ENDOSCOPY PC

2747 CRESCENT ST
SUITE 206
ASTORIA, NY 11102-3142

Phone: 718-204-1100
Fax: 718-204-2049
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for CRESCENT ENDOSCOPY PC

NPI Number 1619308038

LBN Legal business name CRESCENT ENDOSCOPY PC

Authorized official EMANUEL KOUROUPOS - (MD)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/11/2013

Last updated 12/11/2013 - About 12 years ago

Identifiers

NY	License #	155527
NY	Medicaid	00869470

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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