Organization
NIAGARA ASC, LLC
Active
Other names
Ambulatory Surgery Center of Niagara, ASC of Niagara
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FULLONE BS, RN, (ADMINISTRATOR)
(585) 233-0722
Entity
Organization
Contact information
Practice address
6500 PORTER RD, SUITE 2030, NIAGARA FALLS, NY 14304-1529
(716) 285-2020
(716) 285-2060
Mailing address
6500 PORTER RD, SUITE 2030, NIAGARA FALLS, NY 14304-1529
(716) 285-2020
(716) 285-2060
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
06/24/2024
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