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NPI 1962903831

NPI 1962903831 : CLIFTON PARK ASC LLC : CLIFTON PARK, NY

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General NPI Number Information
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    NPI Number           |    1962903831
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLIFTON PARK ASC LLC 
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Dates
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    Enumeration Date     |    02/26/2018
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    Last Update Date     |    07/23/2025
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Provider Practice Location Address
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    Address Line         |    16 MAXWELL DR. 
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    City                 |    CLIFTON PARK
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    State                |    NY
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    Zip                  |    12065
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    Country              |    US
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    Telephone            |    518-557-1800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    121 EVERETT RD 
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12205-1474
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    Country              |    US
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    Telephone            |    518-557-1800
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |     ERIC R ARONOWITZ 
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    Credential           |    MD
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    Telephone            |    518-489-2663
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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       |    
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    License Number State |    
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