| Family Medical Care Of Dewitt Pllc | |
|
7000 E Genesee St Building D Fayetteville NY 13066-1131 | |
| (315) 449-3577 | |
| (315) 449-3578 |
| Full Name | Family Medical Care Of Dewitt Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7000 E Genesee St, Fayetteville, New York |
| Authorized Official Name and Position | Paraskos Araouzos (OWNER) |
| Authorized Official Contact | 3154493577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Of Dewitt Pllc 7000 E Genesee St Building D Fayetteville NY 13066-1131 Ph: (315) 449-3577 | Family Medical Care Of Dewitt Pllc 7000 E Genesee St Building D Fayetteville NY 13066-1131 Ph: (315) 449-3577 |
| NPI Number | 1083942718 |
|---|---|
| Provider Enumeration Date | 11/18/2009 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083942718 | NPI | - | NPPES |
| 02592905 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 231989 (New York) | Primary |
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