Organization
NORTH COUNTRY ORTHOPAEDIC AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A HUGHES (EXECUTIVE ASSISTANT)
(315) 836-2167
Entity
Organization
Contact information
Practice address
1571 WASHINGTON ST, SUITE 202, WATERTOWN, NY 13601-9304
(315) 836-2200
(315) 836-2201
Mailing address
1571 WASHINGTON ST, SUITE 202, WATERTOWN, NY 13601-9304
(315) 836-2200
(315) 836-2201
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2201205R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02385528
—
NY
Enumeration date
12/01/2005
Last updated
10/09/2007
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