COLISEUM SURGICAL & MEDICAL PC
Osteopathic Medicine at 60 St, New York, NY

License number
New York 153732
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. ERIC MOORE MD
Title: SURGEON
Phone: (212) 247-6575
Address
Address 2
30 W 60Th St SUITE 1H, New York, NY 10023
503 Airport Executive Park, Nanuet, NY 10954
National Provider ID: 1295890069
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COLISEUM SURGICAL & MEDICAL PC

New York, NY

Registration:
Jul 7, 2006
Addresses:
Unit 1H 30 West 60 Stree UNIT 1H 30 WEST 60TH STREET, New York, NY 10023 (Physical)
30 W 60 St UNIT 1 H, New York, NY 10023 (Physical)
State ID:
3385550
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Eric D Moore M.d, 30 W 60 St UNIT 1H, New York, NY 10023 (Physical)

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