Organization
LATHAM ANESTHESIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL S SOCCIO MD (OWNER)
(518) 713-4484
Entity
Organization
Contact information
Practice address
1072 TROY SCHENECTADY RD, SUITE 303, LATHAM, NY 12110-1025
(518) 713-4484
(518) 713-4486
Mailing address
13 CENTURY HILL DR, LATHAM, NY 12110-2113
(518) 713-4484
(518) 713-4486
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
238532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02780918
—
NY
Enumeration date
02/16/2012
Last updated
04/27/2012
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