| Crooked Lake Family Medicine | |
|
1930 Pre Emption Rd Penn Yan NY 14527-9641 | |
| (315) 536-0086 | |
| (315) 536-4107 |
| Full Name | Crooked Lake Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1930 Pre Emption Rd, Penn Yan, New York |
| Authorized Official Name and Position | Lisa Walk-reinard (OWNER) |
| Authorized Official Contact | 3155360086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crooked Lake Family Medicine Po Box 1077 Geneva NY 14456-8077 Ph: (315) 536-0086 | Crooked Lake Family Medicine 1930 Pre Emption Rd Penn Yan NY 14527-9641 Ph: (315) 536-0086 |
| NPI Number | 1992946891 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 03/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992946891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 209529 (New York) | Primary |
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