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NPI Code Detail

MEDICARE: BROOKLYN ENDOSCOPY SC, LLC

MEDICARE: BROOKLYN ENDOSCOPY SC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1659516375
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROOKLYN ENDOSCOPY SC, LLC
Provider Business Mailing Address
First Line : 2211 EMMONS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2792
Country : US
Telephone Number : 718-954-3535
Fax Number : 718-954-3548
Provider Business Practice Location Address
First Line : 2211 EMMONS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2792
Country : US
Telephone Number : 718-954-3535
Fax Number : 718-954-3548
Authorized Official
Title or Position : DIRECTOR
Name : DR. SCOTT TENNER
Credential : MD
Telephone Number : 718-954-3535
Provider Enumeration Date : 12/09/2008
Last Update Date : 09/13/2021

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Directions to “BROOKLYN ENDOSCOPY SC, LLC ” Practice Location

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