Organization
CENTER FOR AMBULATORY SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GRANT M.D. (PRESIDENT)
(716) 677-6407
Entity
Organization
Contact information
Practice address
550 ORCHARD PARK RD, SUITE B101, WEST SENECA, NY 14224-2646
(716) 677-4161
Mailing address
950A UNION RD, SUITE 424, WEST SENECA, NY 14224-3465
(716) 677-4400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1474201R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183273
—
NY
Enumeration date
04/11/2006
Last updated
05/06/2015
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