Bloomfield Family Practice, P.c. | |
6032 Woodvine Rise Canandaigua NY 14424-8277 | |
(585) 202-5022 | |
Not Available |
Full Name | Bloomfield Family Practice, P.c. |
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Speciality | Family Medicine |
Location | 6032 Woodvine Rise, Canandaigua, New York |
Authorized Official Name and Position | Vincent Mark Yavorek (PRESIDENT) |
Authorized Official Contact | 5852025353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bloomfield Family Practice, P.c. 6032 Woodvine Rise Canandaigua NY 14424-8277 Ph: (585) 202-5022 | Bloomfield Family Practice, P.c. 6032 Woodvine Rise Canandaigua NY 14424-8277 Ph: (585) 202-5022 |
NPI Number | 1639184336 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 07/18/2023 |
Medicare PECOS PAC ID | 3779506159 |
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Medicare Enrollment ID | O20060111001025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639184336 | NPI | - | NPPES |
01695830 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 195888 (New York) | Primary |
Provider Name | Vincent M Yavorek |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558465237 PECOS PAC ID: 1153310933 Enrollment ID: I20040507000468 |
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