institution
Grand Street Gastroenterology, Inc.
Ambulatory Surgical Clinic/Center in Kingston, New York
NPI 1831259795

Grand Street Gastroenterology, Inc. is an Ambulatory Surgical Clinic/Center based in Kingston, NY and is specialized in Ambulatory Surgical. Grand Street Gastroenterology, Inc. practices in Kingston, NY. The NPI Number for Grand Street Gastroenterology, Inc. is 1831259795 and holds a License No. 5501209R (New York).

The current practice location address for Grand Street Gastroenterology, Inc. is 33 Grand St, Kingston, NY and can be reached out via phone at 845-853-8106 and via fax at 845-853-8093.

Location: 33 Grand St, Kingston, NY, 12401-3933
institution
Provider Profile Details
NPI Number
1831259795
Provider Name
Grand Street Gastroenterology, Inc.
Credential
Provider Entity Type
Organization
Address
33 Grand St, Kingston, NY, 12401-3933
Phone Number
845-853-8106
Fax Number
845-853-8093
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02523619 05 NY
institution
Provider Business Practice Location Address Details
Address
33 Grand St
City
State
Zip
12401-3933
Phone Number
845-853-8106
Fax Number
845-853-8093
person
Provider Business Mailing Address Details
Address
33 Grand St
City
State
Zip
12401-3933
Phone Number
845-853-8106
Fax Number
845-853-8093
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
5501209R (New York)
Definition
Definition to come...
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