CRESCENT ENDOSCOPY PC
Ambulatory Health at Crescent St, Long Island City, NY

License number
New York 155527
Category
Ambulatory Health
Type
Endoscopy
Owner
Name: DR. EMANUEL LEONIDAS KOUROUPOS M.D
Title: MD
Phone: (718) 204-1100
Address
Address
2747 Crescent St SUITE 206, Long Island City, NY 11102
National Provider ID: 1619308038
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CRESCENT ENDOSCOPY PC

27-47 Cres St, Astoria, NY 11102

Registration:
Aug 2, 2013
State ID:
4440060
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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