Crescent Endoscopy Pc

LBN: Crescent Endoscopy Pc
Crescent Endoscopy Pc is an health care organization with primary practice located at 2747 Crescent St Suite 206, Astoria NY 11102-3142. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Crescent Endoscopy Pc can be contacted via phone (718) 204-1100, or through Kouroupos, Emanuel Leonidas via phone (718) 204-1100.

Contact Information

Primary practice address
2747 Crescent St Suite 206 Astoria NY 11102-3142
Fax: (718) 204-2049
Website:
Authorized official contact:
Name: Kouroupos, Emanuel Leonidas Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X 155527 New York

Profile Details

NPI number 1619308038
LBN Legal business name Crescent Endoscopy Pc
DBA Doing business as
Authorized official Kouroupos, Emanuel Leonidas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2013
Last updated Dec 11th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619308038 NPPES
New York MEDICAID 00869470

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