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General NPI Number Information
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NPI Number | 1699743393
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Entity Type | Organization
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Legal Business Name | YORK ENDOSCOPY CENTER L.P.
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 2690 SOUTHFIELD DR
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City | YORK
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State | PA
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Zip | 17403-4510
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Country | US
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Telephone | 717-741-1590
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Fax | 717-741-4774
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Provider Business Mailing Address
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Address Line | 2690 SOUTHFIELD DR
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City | YORK
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State | PA
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Zip | 17403-4510
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Country | US
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Telephone | 717-741-1590
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Fax | 717-741-4774
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Authorized Official
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Title or Position | CLINICAL OPERATIONS ADMINISTRATOR
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Name | TERRI MOORE
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Credential | RN
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Telephone | 717-741-1590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | 119400
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License Number State | PA
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