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Organization

EVERETT ROAD ASC, LLC

Active
Other names
Everett Road Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK CONGIUSTA MD (MEDICAL DIRECTOR)
(518) 453-9088
Entity
Organization

Contact information

Practice address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 489-2663
(518) 689-3881
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06200059
NY
Enumeration date
06/24/2019
Last updated
07/23/2025
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