Finger Lakes Migrant Health Care Project, Inc. | |
60 Main St. Port Byron NY 13140-0359 | |
(315) 776-9700 | |
(315) 776-9700 |
Full Name | Finger Lakes Migrant Health Care Project, Inc. |
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Speciality | Clinic/Center |
Location | 60 Main St., Port Byron, New York |
Authorized Official Name and Position | Terri L Mueller (BILLING MANAGER) |
Authorized Official Contact | 3155319102 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Finger Lakes Migrant Health Care Project, Inc. 14 Maiden Ln Po Box 423 Penn Yan NY 14527-1208 Ph: (315) 531-9102 | Finger Lakes Migrant Health Care Project, Inc. 60 Main St. Port Byron NY 13140-0359 Ph: (315) 776-9700 |
NPI Number | 1114198819 |
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Provider Enumeration Date | 03/20/2008 |
Last Update Date | 11/19/2014 |
Medicare PECOS PAC ID | 0244251486 |
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Medicare Enrollment ID | O20051215000087 |
Identifier | Type | State | Issuer |
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1114198819 | NPI | - | NPPES |
02619881 | Medicaid | NY |
Provider Name | Lois J Van Tol |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164467940 PECOS PAC ID: 4284678046 Enrollment ID: I20050614000204 |
Provider Name | Terry J Yonker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184817215 PECOS PAC ID: 4789601006 Enrollment ID: I20051026000839 |
Provider Name | Stacey Ann Walker |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386668655 PECOS PAC ID: 8921004359 Enrollment ID: I20061009000064 |
Provider Name | Jose R Canario |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356565519 PECOS PAC ID: 7012000201 Enrollment ID: I20070904000483 |
Provider Name | Ahmad Bilal |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487747424 PECOS PAC ID: 0446291405 Enrollment ID: I20080708000213 |
Provider Name | Deborah Cole Wenderlich |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528185691 PECOS PAC ID: 3173516127 Enrollment ID: I20081202000015 |
Provider Name | Ellen M Hey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053376335 PECOS PAC ID: 5991855645 Enrollment ID: I20090618000232 |
Provider Name | Clint Jeremy Koenig |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124000781 PECOS PAC ID: 7113822131 Enrollment ID: I20090831000505 |
Provider Name | Edward Joseph Zgleszewski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720092778 PECOS PAC ID: 0941302228 Enrollment ID: I20091106000248 |
Provider Name | Darlene Brezinsky |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588628622 PECOS PAC ID: 6709920903 Enrollment ID: I20100225000068 |
Provider Name | Robert Shelly |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1306926126 PECOS PAC ID: 3173514445 Enrollment ID: I20101222000847 |
Provider Name | Jenny E Ross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538443114 PECOS PAC ID: 3375717192 Enrollment ID: I20111114000130 |
Provider Name | Erin Mahoney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730431016 PECOS PAC ID: 8921258724 Enrollment ID: I20121031000534 |
Provider Name | Pedro J Gonzalez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518279140 PECOS PAC ID: 4082842562 Enrollment ID: I20140107000955 |
Provider Name | David P Hahn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841606803 PECOS PAC ID: 8224257472 Enrollment ID: I20140919001913 |
Provider Name | Raquel Reyes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154645885 PECOS PAC ID: 3678896495 Enrollment ID: I20150102000509 |
Provider Name | James Hogan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639348675 PECOS PAC ID: 9931286796 Enrollment ID: I20150721001115 |
Provider Name | Rachel E Long |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174889174 PECOS PAC ID: 9830406040 Enrollment ID: I20150921003134 |
Provider Name | Rebecca A Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003286881 PECOS PAC ID: 9931400868 Enrollment ID: I20151218001838 |
Provider Name | Daniel T Dennis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881044295 PECOS PAC ID: 4880598762 Enrollment ID: I20160916000341 |
Provider Name | Janine I Brink |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356510655 PECOS PAC ID: 4789966904 Enrollment ID: I20170124001804 |
Provider Name | Stephanie M Achilles |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598059131 PECOS PAC ID: 2668759010 Enrollment ID: I20171205002964 |
Provider Name | Abbey L Fargnoli |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588035828 PECOS PAC ID: 9436406170 Enrollment ID: I20180726000089 |
Provider Name | Meghan Hutchings |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366939746 PECOS PAC ID: 7911255682 Enrollment ID: I20180813002171 |
Provider Name | Corey M Meyn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447886262 PECOS PAC ID: 2860816451 Enrollment ID: I20200715001980 |
Provider Name | Meghan M Walters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508402926 PECOS PAC ID: 0749691749 Enrollment ID: I20201124000076 |
Provider Name | Corina Bassity |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497079750 PECOS PAC ID: 9739316233 Enrollment ID: I20210907001524 |
Provider Name | Molly Elizabeth Blume |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518513399 PECOS PAC ID: 2668894080 Enrollment ID: I20210928001830 |
Provider Name | Matthew A Privett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285270645 PECOS PAC ID: 9133526437 Enrollment ID: I20210929003107 |
Provider Name | Shannon Trottier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053984716 PECOS PAC ID: 8224436043 Enrollment ID: I20211008001701 |
Provider Name | Sara Vancamp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487207494 PECOS PAC ID: 9638567506 Enrollment ID: I20211026000995 |
Provider Name | Morgan A Paul |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457419582 PECOS PAC ID: 2961438734 Enrollment ID: I20220601000144 |
Provider Name | Paige Stanley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356022917 PECOS PAC ID: 2163878836 Enrollment ID: I20231130000378 |
Provider Name | Amanda Felice |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063821205 PECOS PAC ID: 0143672626 Enrollment ID: I20240119003495 |
Provider Name | Laura Paul |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073979548 PECOS PAC ID: 6305141011 Enrollment ID: I20240219001847 |
Provider Name | Heather Burchell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831975465 PECOS PAC ID: 7416391107 Enrollment ID: I20240221002484 |