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General NPI Number Information
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NPI Number | 1629175062
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Entity Type | Organization
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Legal Business Name | SARATOGA SCHENECTADY ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1 WELLNESS DR
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City | BURNT HILLS
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State | NY
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Zip | 12027-9618
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Country | US
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Telephone | 518-831-1550
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Fax | 518-831-1551
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Provider Business Mailing Address
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Address Line | 1 WELLNESS DR
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City | BURNT HILLS
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State | NY
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Zip | 12027-9618
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Country | US
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Telephone | 518-831-1525
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Fax | 518-831-1551
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GEORGE B BOYAR
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Credential | M.D.
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Telephone | 518-831-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 4550200R
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License Number State | NY
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