| Laurel A Dallmeyer | |
|
495 N Main St Canandaigua NY 14424-1283 | |
| (585) 393-3515 | |
| (585) 393-3515 |
| Full Name | Laurel A Dallmeyer |
|---|---|
| Speciality | Family Medicine |
| Location | 495 N Main St, Canandaigua, New York |
| Authorized Official Name and Position | Laurel A Dallmeyer (OWNER) |
| Authorized Official Contact | 5853933515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel A Dallmeyer 495 N Main St Canandaigua NY 14424-1283 Ph: (585) 393-3515 | Laurel A Dallmeyer 495 N Main St Canandaigua NY 14424-1283 Ph: (585) 393-3515 |
| NPI Number | 1528281599 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 04/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528281599 | NPI | - | NPPES |
| 01388256 | Medicaid | NY | |
| 0186790370 | Other | NY | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 176102 (New York) | Primary |
| 207Q00000X | Family Medicine | 2394701 (New York) | Secondary |
| 207Q00000X | Family Medicine | F3330031 (New York) | Secondary |
Fingerlakes Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Parrish St, Suite B, Canandaigua, NY 14424 Phone: 585-394-8170 Fax: 585-394-8173 | |
Clemensen Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 S Main St, Suite 5, Canandaigua, NY 14424 Phone: 866-269-4810 Fax: 866-269-4810 | |
Bloomfield Family Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6032 Woodvine Rise, Canandaigua, NY 14424 Phone: 585-202-5022 | |
Jordan At Ccia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 N Main St, Suite 11, Canandaigua, NY 14424 Phone: 585-396-6980 | |
Canandaigua Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Parrish St, Canandaigua, NY 14424 Phone: 585-393-2888 Fax: 585-396-9275 | |
Lake Country Family Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 S Main St, Suite G, Canandaigua, NY 14424 Phone: 585-394-1875 Fax: 866-285-9069 |