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Organization
UPSTATE NEW YORK MEDICAL PROFESSIONAL CORPORATION
Active
Organization
UPSTATE NEW YORK MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA POOLE (PRESIDENT)
(404) 285-8388
Entity
Organization
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(888) 228-5798
Mailing address
PO BOX 12766, PENSACOLA, FL 32591-2766
(888) 228-5798
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/22/2021
Last updated
07/23/2026
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