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Organization
UPSTATE SURGICAL GROUP PC
Active
Organization
UPSTATE SURGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS F CERTO M.D. (PRESIDENT)
(315) 634-3399
Entity
Organization
Contact information
Practice address
5100 W TAFT RD, STE 2E, LIVERPOOL, NY 13088-3807
(315) 634-3399
(315) 634-3395
Mailing address
5100 W TAFT RD, STE 2E, LIVERPOOL, NY 13088-3807
(315) 634-3399
(315) 634-3395
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01408800
—
NY
Enumeration date
09/20/2006
Last updated
07/21/2022
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