Organization
AGCNY EAST LLC
Active
Other names
Endoscopy Center of Central New York
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREEN H ASCENZO (CONTACT PERSON)
(315) 708-0091
Entity
Organization
Contact information
Practice address
NORTHEAST MEDICAL BUILDING CONDOMINIUM, SUITE 308, FAYETTEVILLE, NY 13066-6638
(315) 329-7301
(315) 329-7302
Mailing address
260 TOWNSHIP BLVD STE 20, CAMILLUS, NY 13031-1678
(315) 708-0091
(315) 708-0194
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
NY
Other
Enumeration date
10/21/2010
Last updated
05/14/2019
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