Organization
UPSTATE VASCULAR STUDY LAB, INC
Active
Other names
Upstate Vascular Study Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY A. BURGEN (OFFICE MANAGER)
(585) 720-0818
Entity
Organization
Contact information
Practice address
2655 RIDGEWAY AVENUE, SUITE # 260, ROCHESTER, NY 14626
(585) 720-0818
(585) 720-5427
Mailing address
2655 RIDGEWAY AVENUE, SUITE # 260, ROCHESTER, NY 14626
(585) 720-0818
(585) 720-5427
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
124377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00446135
—
NY
Enumeration date
04/26/2006
Last updated
02/06/2012
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