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150 Jay St Finger Lakes Family Medicine Geneva NY 14456-3212 | |
(315) 759-5426 | |
(585) 486-1634 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 150 Jay St, Geneva, New York |
Authorized Official Name and Position | Marino De Jesus Tavarez (OWNER) |
Authorized Official Contact | 9084001843 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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150 Jay St Finger Lakes Family Medicine Geneva NY 14456-3212 Ph: (315) 759-5426 | 150 Jay St Finger Lakes Family Medicine Geneva NY 14456-3212 Ph: (315) 759-5426 |
NPI Number | 1740695717 |
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Provider Enumeration Date | 06/27/2014 |
Last Update Date | 01/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740695717 | NPI | - | NPPES |
02868248 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 232852 (New York) | Primary |
Flh Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Pre Emption Rd, Ste. 300, Geneva, NY 14456 Phone: 315-787-5310 | |
Prime Medical Of The Finger Lakes Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 State Route 5 And 20, Geneva, NY 14456 Phone: 315-759-5319 Fax: 315-759-5339 | |