Organization
CENTRAL NEW YORK SURGICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS BLOM M.D. (OWNER)
(315) 732-0349
Entity
Organization
Contact information
Practice address
2202 GENESEE ST, UTICA, NY 13502-5809
(315) 732-0349
(315) 732-0309
Mailing address
2202 GENESEE ST, UTICA, NY 13502-5809
(315) 732-0349
(315) 732-0309
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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