| Fairgrounds Family Physicians Pllc | |
|
115 Fairgrounds Drive Manlius NY 13104 | |
| (315) 682-6165 | |
| (615) 682-7929 |
| Full Name | Fairgrounds Family Physicians Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Fairgrounds Drive, Manlius, New York |
| Authorized Official Name and Position | Jarrod L Bagatell (PARTNER) |
| Authorized Official Contact | 3156826165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairgrounds Family Physicians Pllc 115 Fairgrounds Drive Manlius NY 13104 Ph: (315) 682-6165 | Fairgrounds Family Physicians Pllc 115 Fairgrounds Drive Manlius NY 13104 Ph: (315) 682-6165 |
| NPI Number | 1174690440 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 07/22/2010 |
| Medicare PECOS PAC ID | 3577646835 |
|---|---|
| Medicare Enrollment ID | O20080208000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174690440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heather J Finger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124127097 PECOS PAC ID: 7315916392 Enrollment ID: I20040927000874 |
| Provider Name | Philip Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033224738 PECOS PAC ID: 1759464019 Enrollment ID: I20101006000853 |
| Provider Name | Karen Oliver Nardella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427163112 PECOS PAC ID: 5294818555 Enrollment ID: I20101006000896 |
Brian Y Changlai Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4921 Briarwood Ln, Manlius, NY 13104 Phone: 315-637-5986 | |
J. Christopher Stringer, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4500 Pewter Ln, Manlius, NY 13104 Phone: 315-760-3490 Fax: 315-682-2030 |