Organization
ONTARIO MEDICAL PRACTICE PC
Active
Organization
ONTARIO MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANN GILPIN (CFO)
(315) 349-5511
Entity
Organization
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
(315) 349-5785
Mailing address
PO BOX 645, BUFFALO, NY 14240-0645
(315) 349-5511
(315) 349-5785
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NY
207Q00000X
Family Medicine Physician
—
NY
208VP0000X
Pain Medicine Physician
—
NY
Other
Enumeration date
07/22/2006
Last updated
05/23/2008
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