Cortland Family Practice | |
4038 West Rd Cortland NY 13045-1842 | |
(607) 758-3008 | |
(607) 758-7032 |
Full Name | Cortland Family Practice |
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Speciality | Clinic/Center |
Location | 4038 West Rd, Cortland, New York |
Authorized Official Name and Position | Kimberly Osborne (CEO) |
Authorized Official Contact | 6077533797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cortland Family Practice 85 South West Street Homer NY 13077-0000 Ph: (607) 753-3797 | Cortland Family Practice 4038 West Rd Cortland NY 13045-1842 Ph: (607) 758-3008 |
NPI Number | 1093946691 |
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Provider Enumeration Date | 07/30/2009 |
Last Update Date | 01/10/2022 |
Medicare PECOS PAC ID | 2668385014 |
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Medicare Enrollment ID | O20131111001710 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093946691 | NPI | - | NPPES |
331881 | Other | NY | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |
Biswarup Syam Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1259 Fisher Ave, Cortland, NY 13045 Phone: 607-756-6595 Fax: 607-756-6594 | |
Nada Salman, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Kennedy Pkwy, Cortland, NY 13045 Phone: 607-753-8571 Fax: 607-753-8422 | |
Dr. Charlotte Hawkins Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4077 West Rd, Cortland, NY 13045 Phone: 607-753-9977 Fax: 607-753-7311 | |
Cortland Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1259 Fisher Ave, Cortland, NY 13045 Phone: 607-756-4600 Fax: 607-753-6266 | |
Robert Castellanos, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Kennedy Pkwy, Cortland, NY 13045 Phone: 607-756-9941 Fax: 607-756-2907 | |
Guthrie Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-756-3533 |