Organization · Type 2 NPI

Colonie Asc LLC

Ambulatory Surgical Clinic/Center · Colonie, NY

NPI number 1316499452 Active

Practice location

207 Troy-Schenectady Rd
Colonie, NY 12110

Call (518) 423-7784 Map

Mailing address

207 Troy Schenectady Rd
Latham, NY 12110-5446

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

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

NPI record

NPI: 1316499452
Entity type: Organization (Type 2)
Issued: Oct 25, 2016
Last updated: Mar 12, 2020
Status: Active

Other names

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Specialty Eye Surgery & Laser Center of the Capital Region · doing business as

Authorized official

Dr. Edward J Wladis, MD
Medical Director
(518) 423-7784

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316499452

Colonie Asc LLC's National Provider Identifier is 1316499452, issued on Oct 25, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Colonie, NY. The record was last updated on Mar 12, 2020.