Healthcare Provider Details

I. General information

NPI: 1497682199
Provider Name (Legal Business Name): CLIFTON PARK ASC, LLC DBA ORTHONY SURGICAL SUITES AT SARATOGA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 MAPLE AVENUE SUITE 260
SARATOGA SPRINGS NY
12866
US

IV. Provider business mailing address

612 MAPLE AVENUE SUITE 260
SARATOGA SPRINGS NY
12866
US

V. Phone/Fax

Practice location:
  • Phone: 518-489-2663
  • Fax:
Mailing address:
  • Phone: 518-489-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LISA O'CONNELL
Title or Position: RCM
Credential:
Phone: 518-489-2663