COLISEUM SURGICAL & MEDICAL PC – NPI #1295890069
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

COLISEUM SURGICAL & MEDICAL PC is a provider located in NEW YORK, NY. NPPES has assigned the NPI number 1295890069 to COLISEUM SURGICAL & MEDICAL PC on December 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 17 years ago on Feb 20, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLISEUM SURGICAL & MEDICAL PC below.

NPI Profile for
COLISEUM SURGICAL & MEDICAL PC

NPI Number
1295890069
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLISEUM SURGICAL & MEDICAL PC
Primary location
30 W 60TH ST
SUITE 1H
NEW YORK, NY 10023-7906
Phone: (212) 247-6575 Fax: (212) 582-9461
Mailing address
503 AIRPORT EXECUTIVE PARK
NANUET, NY 10954-5238
Phone: (845) 426-6864 Fax: (845) 356-5312
Organization Subpart
No
Authorized Official
ERIC MOORE
SURGEON
Phone: (212) 247-6575
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 NY 153732

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.