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Organization

TRI-COUNTY SURGICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER F. D'SILVA M.D. (OWNER)
(315) 787-5333
Entity
Organization

Contact information

Practice address
821 PRE EMPTION RD, SUITE 302, GENEVA, NY 14456-2061
(315) 787-5333
(315) 787-5340
Mailing address
821 PRE EMPTION RD, SUITE 302, GENEVA, NY 14456-2061
(315) 787-5333
(315) 787-5340

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00485869
NY
01
CC2391
PTAN
NY
Enumeration date
09/27/2007
Last updated
01/03/2012
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