Organization
OSWEGO SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDR SOKOLOVSKY D.O. (OWNER/MEMBER)
(315) 207-0670
Entity
Organization
Contact information
Practice address
38 ERIE ST, OSWEGO, NY 13126-3803
(315) 207-0670
(315) 207-0672
Mailing address
38 ERIE ST, OSWEGO, NY 13126-3803
(315) 207-0670
(315) 207-0672
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
251306
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J100000143
MEDICARE PTAN
NY
Enumeration date
01/10/2009
Last updated
03/05/2015
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