OrganizationActive
East Side Specialized Services Inc
NPI 1982749230 · Medical Specialty Clinic/Center · New York, NY
Provider details
- NPI number
- 1982749230
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vijay Anand, President(212) 452-3005
- License
- 145350 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
772 Park Ave
New York, NY 10021-4153
Phone: (212) 452-3005
Fax: (212) 452-3660
Approximate (ZIP-level) locationGet directions
Mailing address
772 Park Ave
New York, NY 10021-4153
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2009-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.