Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 196 North St, Geneva, New York |
Authorized Official Name and Position | Pamela E Johnson (TREASURER & CFO) |
Authorized Official Contact | 3157874030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
196 North St Geneva NY 14456-1651 Ph: (315) 787-4150 | 196 North St Geneva NY 14456-1651 Ph: (315) 787-4150 |
NPI Number | 1689717209 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 07/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689717209 | NPI | - | NPPES |
00378712 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | 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 | |