Organization
UPSTATE ORTHOPEDICS AMBULATORY SURGERY CENTER LLC
Active
Other names
Upstate Orthopedics ASC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON DAVID VAN VALKENBURG (EXECUTIVE DIRECTOR)
(315) 432-5971
Entity
Organization
Contact information
Practice address
6620 FLY ROAD, SUITE 300, EAST SYRACUSE, NY 13057
(315) 432-5960
(315) 432-5979
Mailing address
6620 FLY ROAD, SUITE 300, EAST SYRACUSE, NY 13057
(315) 432-5960
(315) 432-5979
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3321200R
NY
261QA1903X
Ambulatory Surgical Clinic/Center
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Other
Enumeration date
05/14/2009
Last updated
05/05/2022
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