Organization
WYOMING COUNTY
Active
Parent organization
WYOMING COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYOMING COUNTY
Authorized official
MICHAEL CORCIMIGLIA (CHIEF OPERATING OFFICER)
(585) 786-8940
Entity
Organization
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
Mailing address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
277752
NY
Other
Enumeration date
12/22/2014
Last updated
04/23/2015
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