Organization
FINGER LAKES ORTHOPEDIC SURGERY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D GIBSON M.D. (PRESIDENT)
(607) 734-4110
Entity
Organization
Contact information
Practice address
300 HOFFMAN ST, ELMIRA, NY 14905-2263
(607) 734-4110
(607) 734-0344
Mailing address
300 HOFFMAN ST, ELMIRA, NY 14905-2263
(607) 734-4110
(607) 734-0344
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
145863
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287576
—
NY
Enumeration date
05/31/2006
Last updated
03/24/2008
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