Organization
WYOMING COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CORCIMIGLIA (COO)
(585) 786-8940
Entity
Organization
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
Mailing address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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