# NIAGARA ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ambulatory Surgery Center of Niagara, ASC of Niagara
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588046361
- **Authorized official:** KIMBERLY FULLONE BS, RN, (ADMINISTRATOR)
- **Authorized official phone:** (585) 233-0722

## Contact information

- **Practice address:** 6500 PORTER RD, SUITE 2030, NIAGARA FALLS, NY 14304-1529
- **Practice address phone:** (716) 285-2020
- **Practice address fax:** (716) 285-2060
- **Mailing address:** 6500 PORTER RD, SUITE 2030, NIAGARA FALLS, NY 14304-1529
- **Mailing address phone:** (716) 285-2020
- **Mailing address fax:** (716) 285-2060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2015
- **Last updated:** 06/24/2024