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Organization

ROME MEDICAL PRACTICE PC

Active
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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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