Organization
CRYSTAL SPRINGS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR B. BASSIG M.D. (PRESIDENT)
(716) 625-9851
Entity
Organization
Contact information
Practice address
6101 ROBINSON RD, LOCKPORT, NY 14094-8920
(716) 625-9851
(716) 625-9858
Mailing address
6101 ROBINSON RD, LOCKPORT, NY 14094-8920
(716) 625-9851
(716) 625-9858
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
197593
NY
Other
Enumeration date
07/22/2006
Last updated
03/21/2012
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