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Organization
MINIMALLY INVASIVE SURGERY OF OSWEGO COUNTY, PLLC
Active
Organization
MINIMALLY INVASIVE SURGERY OF OSWEGO COUNTY, PLLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED AUGUSTINE SANTOS MD (MINIMALLY INVASIVE SURGEON)
(315) 342-3400
Entity
Organization
Contact information
Practice address
140 W 6TH ST, SUITE 270, OSWEGO, NY 13126-2525
(315) 342-3400
Mailing address
PO BOX 196, 140 WEST SIXTH STREET SUITE 270, OSWEGO, NY 13126-0196
(315) 342-3400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
234085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000925084001
HEALTHNOW
NY
05
—
01339211-046
—
NY
01
—
376629
MVP
NY
01
—
5954225
AETNA
NY
Enumeration date
04/18/2007
Last updated
08/22/2020
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