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General NPI Number Information
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NPI Number | 1720215320
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Entity Type | Organization
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Legal Business Name | EAST SIDE ENDOSCOPY LLC
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 380 2ND AVE CONCOURSE A
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 212-375-1065
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Fax | 212-375-1069
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Provider Business Mailing Address
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Address Line | 380 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 212-375-1065
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Fax | 212-375-1069
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HELEN M LOWENWIRTH
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Credential |
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Telephone | 212-375-1065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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