Organization
EPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH M. WOOD RN MBA CASC (ADMINISTRATOR)
(315) 488-2538
Entity
Organization
Contact information
Practice address
260 TOWNSHIP BLVD STE 10, CAMILLUS, NY 13031-1677
(315) 488-3905
(315) 488-2301
Mailing address
260 TOWNSHIP BLVD STE 10, CAMILLUS, NY 13031-1677
(315) 488-3905
(315) 488-2301
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
3301220R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02772287
—
NY
Enumeration date
10/02/2006
Last updated
03/17/2018
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