# EVERETT ROAD ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Everett Road Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164083911
- **Authorized official:** FRANK CONGIUSTA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (518) 453-9088

## Contact information

- **Practice address:** 123 EVERETT RD, ALBANY, NY 12205-1407
- **Practice address phone:** (518) 489-2663
- **Practice address fax:** (518) 689-3881
- **Mailing address:** 121 EVERETT RD, ALBANY, NY 12205-1474
- **Mailing address phone:** (518) 489-2663
- **Mailing address fax:** (518) 689-3881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 07/23/2025