| NPI | 1245364769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S ANTHONY President 607-734-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 185751-1) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 201319) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |