Provider Demographics
NPI:1427301290
Name:BAY RIDGE ENDOSCOPY SERVICES PLLC
Entity type:Organization
Organization Name:BAY RIDGE ENDOSCOPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROVITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-836-9153
Mailing Address - Street 1:237 BAY RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2403
Mailing Address - Country:US
Mailing Address - Phone:516-442-5582
Mailing Address - Fax:516-307-3396
Practice Address - Street 1:237 BAY RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2403
Practice Address - Country:US
Practice Address - Phone:718-748-7100
Practice Address - Fax:718-748-0749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty