Organization · Type 2 NPI
Upstate Gastroenterology, LLC
Ambulatory Surgical Clinic/Center · Syracuse, NY
NPI number
1366799033
Active
Practice location
1000 E Genesee St, Suite 206
Syracuse, NY 13210-1892
Fax (315) 464-1617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 111362 (NY) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1366799033
Upstate Gastroenterology, LLC's National Provider Identifier is 1366799033, issued on Aug 13, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Syracuse, NY. The record was last updated on Mar 2, 2015.