# SAME DAY SURGERY OF LATHAM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Century Same Day Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235193988
- **Authorized official:** MR. BRAD NEAL OTTWELL (MANAGER)
- **Authorized official phone:** (636) 549-2381

## Contact information

- **Practice address:** 7 CENTURY HILL DR, LATHAM, NY 12110
- **Practice address phone:** (518) 785-5741
- **Practice address fax:** (518) 785-8134
- **Mailing address:** PO BOX 79033, ST LOUIS, MO 63179-0333
- **Mailing address phone:** (636) 938-6868
- **Mailing address fax:** (636) 938-1486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0153202R | NY | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 4410 | NY | — |

## Other

- **Enumeration date:** 04/12/2006
- **Last updated:** 04/30/2008