Organization
ELMIRA ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FRIEDRICH (ADMINISTRATOR)
(607) 734-2984
Entity
Organization
Contact information
Practice address
210 WILLIAM ST, ELMIRA, NY 14901-3113
(607) 734-1305
(607) 398-3414
Mailing address
210 WILLIAM ST, ELMIRA, NY 14901-3113
(607) 734-1305
(607) 398-3414
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0701203R
NY
Other
Enumeration date
09/13/2005
Last updated
09/10/2014
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