Organization
EXTENDED MEDICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNEEL M KOUL MD (OWNER DOCTOR)
(585) 305-0615
Entity
Organization
Contact information
Practice address
1024 HILTON PARMA CORNERS RD, HILTON, NY 14468-9328
(585) 392-4114
(585) 392-5226
Mailing address
1024 HILTON PARMA CORNERS RD, HILTON, NY 14468-9328
(585) 392-4114
(585) 392-5226
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01852280
—
NY
Enumeration date
10/03/2006
Last updated
08/14/2023
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