Organization · Type 2 NPI
Grand Street Gastroenterology, Inc.
Ambulatory Surgical Clinic/Center · Kingston, NY
NPI number
1831259795
Active
Practice location
33 Grand St
Kingston, NY 12401-3933
Fax (845) 853-8093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 5501209R (NY) |
Ambulatory Surgical Clinic/Center: Definition to come...
3 other providers at this address
Other ambulatory surgical clinic/center providers in Kingston
About NPI 1831259795
Grand Street Gastroenterology, Inc.'s National Provider Identifier is 1831259795, issued on Dec 11, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Kingston, NY. The record was last updated on May 20, 2021.