Organization
LISLE MEDICAL ARTS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J. DRISCOLL M.D. (OWNER)
(607) 692-3844
Entity
Organization
Contact information
Practice address
66 JOHNSON HILL ROAD, POB 338, LISLE, NY 13797-0338
(607) 692-3844
(607) 692-3846
Mailing address
66 JOHNSON HILL ROAD, POB 338, LISLE, NY 13797-0338
(607) 692-3844
(607) 692-3846
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
113141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00491447
—
NY
Enumeration date
01/16/2007
Last updated
05/21/2008
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