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Organization
WYOMING COUNTY
Active
Organization
WYOMING COUNTY
Active
Parent organization
WYOMING COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYOMING COUNTY
Authorized official
MICHAEL CORCIMIGLIA (CHIEF OPERATING OFFICER)
(585) 786-8940
Entity
Organization
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
Mailing address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
07/11/2014
Last updated
11/22/2017
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