Organization
NEW ENGLAND LASER AND COSMETIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN F WILLIAMS III MD (MANAGING EMPLOYEE/OWNER)
(518) 786-7000
Entity
Organization
Contact information
Practice address
1072 TROY SCHENECTADY RD, LATHAM, NY 12110-1025
(518) 783-0035
Mailing address
PO BOX 11716, NELSC, ALBANY, NY 12211-0716
(518) 786-7000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153203R
OPERATING CERT NUMBER
NY
Enumeration date
08/18/2005
Last updated
10/30/2008
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