Organization
AUBURN MEMORIAL MEDICAL SERVICES, PC
Active
Parent organization
AUBURN MEMORIAL MEDICAL SERVICES, PC
Other names
Auburn Orthopaedic Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUBURN MEMORIAL MEDICAL SERVICES, PC
Authorized official
KATHERINE CONWAY-RUSSELL (PROVIDER ENROLLMENT SPECIALIST)
(315) 253-1838
Entity
Organization
Contact information
Practice address
77 NELSON ST STE 120, AUBURN, NY 13021-1941
(315) 252-7559
(315) 253-8104
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7576
(315) 702-8393
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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