NPI 1023401163

Nyces Endoscopy Surgicare-Pc

Organisation Ph.D. Medical Genetics New York, NY

Practice location

Address: 154 W 127th St, New York, NY 10027-3739
Phone: (718) 433-0044
Fax: (718) 433-4644
Mailing address: PO Box 30037, Elmont, NY 11003-0037

Authorised official

Name: Evans Crevecoeur
Title: Physician/Ceo
Phone: (718) 433-0044

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X Licence 177953-2 (NY)

Other Medical Genetics, Ph.D. Medical Genetics providers in New York →

Registry record

NPI: 1023401163
Entity type: Organization
NPI issued: 13 Mar 2015
Record last updated: 13 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.