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Wyoming County

Pathology, Anatomic Pathology & Clinical Pathology in Warsaw, NY. Organization (NPI-2).

NPI number1437520004
StatusActive
Last updated in NPPESOct 8, 2015

Details

NPI
1437520004
Entity type
Organization (NPI-2)
Legal business name
Wyoming County
Organization subpart
Yes
Enumeration date
Oct 8, 2015
Last updated
Oct 8, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology224328NYYes

Practice location

400 N Main St
Warsaw, NY 14569-1025

Phone 585-786-8940

Mailing address

400 N Main St
Warsaw, NY 14569-1025

Phone 585-786-8940

Authorized official

Michael Corcimiglia
Chief Operating Offi
5857868940

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