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Organization
WYOMING COUNTY
Active
Organization
WYOMING COUNTY
Active
Parent organization
WYOMING COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYOMING COUNTY
Authorized official
MICHAEL A. CORCIMIGLIA MSL (CHIEF OPERATING OFFICER)
(585) 786-8940
Entity
Organization
Contact information
Practice address
400 NORTH MAIN STREET, WARSAW, NY 14569
(585) 786-8940
(585) 786-1222
Mailing address
400 NORTH MAIN STREET, WARSAW, NY 14569
(585) 786-8940
(585) 786-1222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
255096
NY
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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