Organization
SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CRAIG DREYFUSS M.D. (PRESIDENT)
(607) 770-9471
Entity
Organization
Contact information
Practice address
161 RIVERSIDE DR, SUITE 105, BINGHAMTON, NY 13905-4176
(607) 770-9471
(607) 797-4699
Mailing address
161 RIVERSIDE DR, SUITE 105, BINGHAMTON, NY 13905-4176
(607) 770-9471
(607) 797-4699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00373079
—
NY
01
—
7774
CDPHP
NY
Enumeration date
11/03/2006
Last updated
04/08/2008
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