# ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013938174
- **Authorized official:** CAROL GALLUP (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (315) 218-0085

## Contact information

- **Practice address:** 260 TOWNSHIP BLVD, STE 20, CAMILLUS, NY 13031
- **Practice address phone:** (315) 708-0190
- **Practice address fax:** (315) 488-3284
- **Mailing address:** 260 TOWNSHIP BLVD, STE 20, CAMILLUS, NY 13031
- **Mailing address phone:** (315) 708-0091
- **Mailing address fax:** (315) 708-0194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NY | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 03/17/2018