# AUBURN MEMORIAL MEDICAL SERVICES, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AUBURN MEMORIAL MEDICAL SERVICES, PC
- **Other names:** Auburn Orthopaedic Services, Auburn Podiatry Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467151852
- **Legal business name:** AUBURN MEMORIAL MEDICAL SERVICES, PC
- **Authorized official:** KATHERINE CONWAY-RUSSELL (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (315) 253-1838

## Contact information

- **Practice address:** 77 NELSON ST STE 210, AUBURN, NY 13021-1941
- **Practice address phone:** (315) 567-0797
- **Mailing address:** 17 LANSING ST, AUBURN, NY 13021-1983
- **Mailing address phone:** (315) 255-7576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2023
- **Last updated:** 02/24/2023