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
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 SurgicalAmbulatory Surgical

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