is a Surgery in Oswego, New York. practices all healthcare services and medical treatments related to Surgery. The NPI Number for is 1992757421. The last update date is .
's current location address is 110 W 6th St, Oswego, New York. You can contact this provider via phone number 3153495511 and fax number 3153495921. The mailing address for is 110 W 6th St, Oswego, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 110 W 6th St, Oswego, New York |
| Phone Number | 3153495511 |
| Fax Number | 3153495921 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992757421 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 110 W 6th St |
|---|---|
| City | Oswego |
| State | New York (NY) |
| Post Code | 131262507 |
| Phone Number | 3153495511 |
| Fax Number | 3153495921 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 220630 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2155824 | NY | -- | |
| P02005039 | NY | RAILROAD MEDICARE |
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