| Big Flats Primary Care | |
|
455 Maple St Suite 3 Big Flats NY 14814-9701 | |
| (607) 562-3600 | |
| (607) 562-8661 |
| Full Name | Big Flats Primary Care |
|---|---|
| Speciality | Clinic/center |
| Location | 455 Maple St, Big Flats, New York |
| Authorized Official Name and Position | Paul Peter Povanda (STAFF PHYSICIAN) |
| Authorized Official Contact | 6075623000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Flats Primary Care 455 Maple St Suite 3 Big Flats NY 14814-9701 Ph: (607) 562-3600 | Big Flats Primary Care 455 Maple St Suite 3 Big Flats NY 14814-9701 Ph: (607) 562-3600 |
| NPI Number | 1265544936 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265544936 | NPI | - | NPPES |
| 00363126 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 195749 (New York) | Primary |
Big Flats Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Maple St, Suite 1, Big Flats, NY 14814 Phone: 607-562-8901 Fax: 607-562-7443 |