Agcny East LLC
NPI #1801196050 in Fayetteville, New York
Provider Information
- NPI Number
- 1801196050
- Entity Type
- Organization
- Organization Name
- Agcny East LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 21, 2010
- Last Updated
- May 14, 2019
Practice Location
- Address
- NORTHEAST MEDICAL BUILDING CONDOMINIUM
- Address 2
- SUITE 308
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066-6638
- Phone
- (315) 329-7301
Authorized Official
- Name
- LAUREEN H ASCENZO
- Title
- CONTACT PERSON
- Phone
- (315) 708-0091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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