Healthcare Provider Details

I. General information

NPI: 1073535936
Provider Name (Legal Business Name): HORNELL SURGICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 GENESEE STREET
HORNELL NY
14543
US

IV. Provider business mailing address

32 GENESEE STREET
HORNELL NY
14543
US

V. Phone/Fax

Practice location:
  • Phone: 607-324-1000
  • Fax: 607-324-7785
Mailing address:
  • Phone: 607-324-1000
  • Fax: 607-324-7785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: A BYRON COLLINS
Title or Position: SR. PARTNER
Credential: M.D.
Phone: 607-324-1000