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Organization
KANSAS EYE SURGERY ASSOCIATES, P.C.
Active
Organization
KANSAS EYE SURGERY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVIE MICHAEL KWIAT M.D. (PHYSICIAN)
(518) 690-2015
Entity
Organization
Contact information
Practice address
24 CENTURY HILL DR, SUITE 001, LATHAM, NY 12110-2133
(518) 690-2015
(581) 690-0353
Mailing address
24 CENTURY HILL DR, SUITE 001, LATHAM, NY 12110-2133
(518) 690-2015
(581) 690-0353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
226627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02684013
—
NY
Enumeration date
06/29/2006
Last updated
08/22/2020
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