| NPI | 1427282771 |
|---|---|
| Doing Business As | UPSTATE ORTHOPEDICS ASC |
| Entity Type | Organization |
| Authorized Contact | JON DAVID VAN VALKENBURG Executive Director 315-432-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 3321200R) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2022-05-05 |