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Organization
SAME DAY SURGERY OF LATHAM INC
Active
Organization
SAME DAY SURGERY OF LATHAM INC
Active
Other names
Century Same Day Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD NEAL OTTWELL (MANAGER)
(636) 549-2381
Entity
Organization
Contact information
Practice address
7 CENTURY HILL DR, LATHAM, NY 12110
(518) 785-5741
(518) 785-8134
Mailing address
PO BOX 79033, ST LOUIS, MO 63179-0333
(636) 938-6868
(636) 938-1486
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0153202R
NY
261QA1903X
Ambulatory Surgical Clinic/Center
4410
NY
Other
Enumeration date
04/12/2006
Last updated
04/30/2008
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