Organization
ADVANCED LAPAROSCOPIC SURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER MARIE KEMPF (MEDICAL SECRETARY)
(845) 624-4425
Entity
Organization
Contact information
Practice address
445 ROUTE 304, BARDONIA, NY 10954-1614
(845) 624-4425
(845) 624-4428
Mailing address
445 ROUTE 304, BARDONIA, NY 10954-1614
(845) 624-4425
(845) 624-4428
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
232695
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2601545
—
NY
Enumeration date
02/13/2007
Last updated
08/22/2020
Update your record
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