Organization · Type 2 NPI

Agcny East LLC

Ambulatory Surgical Clinic/Center · Fayetteville, NY

NPI number 1801196050 Active

Practice location

Northeast Medical Building Condominium, Suite 308
Fayetteville, NY 13066-6638

Call (315) 329-7301 Map

Fax (315) 329-7302

Mailing address

260 Township Blvd Ste 20
Camillus, NY 13031-1678

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	PENDING (NY)

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

Other ambulatory surgical clinic/center providers in Fayetteville

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NPI record

NPI: 1801196050
Entity type: Organization (Type 2)
Issued: Oct 21, 2010
Last updated: May 14, 2019
Status: Active

Other names

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Endoscopy Center of Central New York · doing business as
Endoscopy Center of Central New York · doing business as

Authorized official

Laureen H Ascenzo
Contact Person
(315) 708-0091

Verify this record

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 1801196050

Agcny East LLC's National Provider Identifier is 1801196050, issued on Oct 21, 2010. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fayetteville, NY. The record was last updated on May 14, 2019.