Organization
SAME DAY SURGERY OF LATHAM INC
Active
Other names
Century Same Day Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD NEAL OTTWELL (MANAGER)
(636) 549-2381
Entity
Organization
Contact information
Practice address
7 CENTURY HILL DR, LATHAM, NY 12110
(518) 785-5741
(518) 785-8134
Mailing address
PO BOX 79033, ST LOUIS, MO 63179-0333
(636) 938-6868
(636) 938-1486
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0153202R
NY
261QA1903X
Ambulatory Surgical Clinic/Center
4410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01238504
—
NY
Enumeration date
04/12/2006
Last updated
04/30/2008
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