Healthcare Provider Details

I. General information

NPI: 1508867466
Provider Name (Legal Business Name): GUTHRIE SAME DAY SURGERY CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 ARNOT RD
HORSEHEADS NY
14845-8533
US

IV. Provider business mailing address

31 ARNOT RD
HORSEHEADS NY
14845-8533
US

V. Phone/Fax

Practice location:
  • Phone: 607-795-5199
  • Fax: 607-795-5198
Mailing address:
  • Phone: 607-795-5199
  • Fax: 607-795-5198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number0752200R
License Number StateNY

VIII. Authorized Official

Name: MRS. MINH DANG
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 570-882-4323