# EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1265495451
- **Authorized official:** KYLE R. FLIK MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (518) 453-2361

## Contact information

- **Practice address:** 3 ATRIUM DR, SUITE 150, ALBANY, NY 12205-1417
- **Practice address phone:** (518) 453-2361
- **Practice address fax:** (518) 453-1594
- **Mailing address:** 3 ATRIUM DR, SUITE 150, ALBANY, NY 12205-1417
- **Mailing address phone:** (518) 453-2361
- **Mailing address fax:** (518) 453-1594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0101219R | NY | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 07/23/2025