# ELMIRA ASC LLC

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

## Provider details

- **NPI number:** 1295720530
- **Authorized official:** THOMAS FRIEDRICH (ADMINISTRATOR)
- **Authorized official phone:** (607) 734-2984

## Contact information

- **Practice address:** 210 WILLIAM ST, ELMIRA, NY 14901-3113
- **Practice address phone:** (607) 734-1305
- **Practice address fax:** (607) 398-3414
- **Mailing address:** 210 WILLIAM ST, ELMIRA, NY 14901-3113
- **Mailing address phone:** (607) 734-1305
- **Mailing address fax:** (607) 398-3414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0701203R | NY | Yes |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 09/10/2014