Organization
NORTH COUNTRY EC LLC
Active
Parent organization
NORTH COUNTRY EC LLC
Other names
NE NY Anesth Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH COUNTRY EC LLC
Authorized official
TIMOTHY DUFFEY (EXCEUTIVE DIRECTOR)
(518) 450-1304
Entity
Organization
Contact information
Practice address
135 NORTH RD BLDG 2, WILTON, NY 12831-1308
(518) 450-1304
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
09/02/2024
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