| Ismail Medicine, Pllc | |
|
8016 E Genesee St Fayetteville NY 13066-9692 | |
| (315) 569-1612 | |
| Not Available |
| Full Name | Ismail Medicine, Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 8016 E Genesee St, Fayetteville, New York |
| Authorized Official Name and Position | Shareen Ismail (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3155691612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismail Medicine, Pllc 8016 E Genesee St Fayetteville NY 13066-9692 Ph: () - | Ismail Medicine, Pllc 8016 E Genesee St Fayetteville NY 13066-9692 Ph: (315) 569-1612 |
| NPI Number | 1770317166 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770317166 | NPI | - | NPPES |
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