Organization · Type 2 NPI

Everett Road Asc, LLC

Ambulatory Surgical Clinic/Center · Albany, NY

NPI number 1164083911 Active

Practice location

123 Everett Rd
Albany, NY 12205-1407

Fax (518) 689-3881

Mailing address

121 Everett Rd
Albany, NY 12205-1474

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1164083911

Everett Road Asc, LLC's National Provider Identifier is 1164083911, issued on Jun 24, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Albany, NY. The record was last updated on Jul 23, 2025.