| Family Medicine Associates Of Fayetteville | |
|
212 Highbridge St Suite C Fayetteville NY 13066-1981 | |
| (315) 637-0477 | |
| (315) 637-0559 |
| Full Name | Family Medicine Associates Of Fayetteville |
|---|---|
| Speciality | Family Medicine |
| Location | 212 Highbridge St, Fayetteville, New York |
| Authorized Official Name and Position | Errol Mckenzie (PHYISICIAN) |
| Authorized Official Contact | 3156370477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Associates Of Fayetteville 212 Highbridge St Suite C Fayetteville NY 13066-1981 Ph: (315) 637-0477 | Family Medicine Associates Of Fayetteville 212 Highbridge St Suite C Fayetteville NY 13066-1981 Ph: (315) 637-0477 |
| NPI Number | 1023322286 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 08/24/2010 |
| Medicare PECOS PAC ID | 4880728138 |
|---|---|
| Medicare Enrollment ID | O20100823000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023322286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 222899 (New York) | Primary |
| Provider Name | Chanele M Burgun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619954823 PECOS PAC ID: 0042225435 Enrollment ID: I20060207000015 |
| Provider Name | Errol S Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679533624 PECOS PAC ID: 6103829866 Enrollment ID: I20060818000006 |
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