Organization
COLONIE ASC LLC
Active
Other names
Specialty Eye Surgery & Laser Center of the Capital Region
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J WLADIS MD (MEDICAL DIRECTOR)
(518) 423-7784
Entity
Organization
Contact information
Practice address
207 TROY-SCHENECTADY RD, COLONIE, NY 12110
(518) 423-7784
Mailing address
207 TROY SCHENECTADY RD, LATHAM, NY 12110-5446
(518) 538-9128
(518) 389-2933
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
03/12/2020
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