Organization
ROME MEDICAL PRACTICE PC
Active
Parent organization
GREATER ROME AFFILIATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER ROME AFFILIATES, INC.
Authorized official
LISA TAURISANO (ADMINISTRATOR)
(315) 338-7636
Entity
Organization
Contact information
Practice address
267 AVERY LANE, SUITE 300, ROME, NY 13441
(315) 338-7636
(315) 356-4982
Mailing address
267 AVERY LANE, SUITE 300, ROME, NY 13441
(315) 338-7636
(315) 356-4982
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1990091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02735037
—
NY
Enumeration date
07/15/2006
Last updated
04/26/2021
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