| NPI | 1164083911 |
|---|---|
| Doing Business As | EVERETT ROAD SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | FRANK CONGIUSTA President 518-489-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-12-08 |