Upstate Vascular Study Lab, INC

NPI #1194782938 in Rochester, New York

Provider Information

NPI Number
1194782938
Entity Type
Organization
Organization Name
Upstate Vascular Study Lab, INC
Primary Specialty
Physiological Laboratory
Enumeration Date
Apr 26, 2006
Last Updated
Feb 6, 2012

Practice Location

Address
2655 RIDGEWAY AVENUE
Address 2
SUITE # 260
ZIP Code
14626
Phone
(585) 720-0818

Authorized Official

Name
MRS. TIFFANY A. BURGEN
Title
OFFICE MANAGER
Phone
(585) 720-0818

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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