Organization
SUNRISE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J SIEDLECKI MD (OWNER)
(716) 508-0995
Entity
Organization
Contact information
Practice address
3349 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127
(716) 508-0995
(716) 508-0997
Mailing address
PO BOX 1079, ORCHARD PARK, NY 14127-8079
(716) 508-0995
(716) 508-0997
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
01/02/2024
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