# AGCNY EAST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endoscopy Center of Central New York
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801196050
- **Authorized official:** LAUREEN H ASCENZO (CONTACT PERSON)
- **Authorized official phone:** (315) 708-0091

## Contact information

- **Practice address:** NORTHEAST MEDICAL BUILDING CONDOMINIUM, SUITE 308, FAYETTEVILLE, NY 13066-6638
- **Practice address phone:** (315) 329-7301
- **Practice address fax:** (315) 329-7302
- **Mailing address:** 260 TOWNSHIP BLVD STE 20, CAMILLUS, NY 13031-1678
- **Mailing address phone:** (315) 708-0091
- **Mailing address fax:** (315) 708-0194

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 05/14/2019