Organization
AUBURN MEMORIAL MEDICAL SERVICES, PC
Active
Parent organization
AUBURN MEMORIAL MEDICAL SERVICES, PC
Other names
Auburn Orthopaedic Services, Auburn Podiatry Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUBURN MEMORIAL MEDICAL SERVICES, PC
Authorized official
KATHERINE CONWAY-RUSSELL (PROVIDER ENROLLMENT SPECIALIST)
(315) 253-1838
Entity
Organization
Contact information
Practice address
77 NELSON ST STE 210, AUBURN, NY 13021-1941
(315) 567-0797
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7576
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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