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1295890069
COLISEUM SURGICAL & MEDICAL PC
NEW YORK, NY
NPI
1295890069
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Entity Type
Organization
Authorized Contact
ERIC MOORE
Surgeon
212-247-6575
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: NY 153732)
Enumeration Date
2006-12-22
Last Update Date
2009-02-20
Business Address
COLISEUM SURGICAL & MEDICAL PC
30 W 60TH ST SUITE 1H
NEW YORK, NY 10023-7906
Phone number: 212-247-6575
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Mailing Address
COLISEUM SURGICAL & MEDICAL PC
503 AIRPORT EXECUTIVE PARK
NANUET, NY 10954-5238
Phone number: 845-426-6864
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