| Organization Name: | AUSTIN MEDICAL OBS, PC |
| NPI Number: | 1003088394 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID J SOSNOWIK (CFO) |
| Mailing Address: | 7010 Austin St Suite 101 Forest Hills |
| State: | NY US |
| Postal Code: | 113754763 |
| Phone Number: | 7188309500 |
| Fax Number: | 7187938407 |
| NPI Enumeration Date: | 03/27/2008 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | 162939 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |