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Organization
UPSTATE ANESTHESIA PLLC
Active
Organization
UPSTATE ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIAM S BENIAMIN MD (MD)
(315) 393-3600
Entity
Organization
Contact information
Practice address
415 KING ST, OGDENSBURG, NY 13669-1114
(315) 393-3600
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/29/2015
Last updated
11/29/2015
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