| Organization Name: | SARATOGA SCHENECTADY ENDOSCOPY CENTER, LLC |
| NPI Number: | 1629175062 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE B BOYAR (MEDICAL DIRECTOR) |
| Mailing Address: | 848 Rt. 50 Burnt Hills |
| State: | NY US |
| Postal Code: | 120270419 |
| Phone Number: | 5188311550 |
| Fax Number: | 5188311551 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 04/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 4550200R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |