| Preventive Medicine Associates Llc | |
|
5415 W Genesee St Suite 301 Camillus NY 13031-2162 | |
| (315) 487-8109 | |
| (315) 487-5680 |
| Full Name | Preventive Medicine Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5415 W Genesee St, Camillus, New York |
| Authorized Official Name and Position | Joseph T Barry (PARTNER) |
| Authorized Official Contact | 3154878109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Medicine Associates Llc 5415 W Genesee St Suite 301 Camillus NY 13031-2162 Ph: (315) 487-8109 | Preventive Medicine Associates Llc 5415 W Genesee St Suite 301 Camillus NY 13031-2162 Ph: (315) 487-8109 |
| NPI Number | 1710099304 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/08/2012 |
| Medicare PECOS PAC ID | 5294740924 |
|---|---|
| Medicare Enrollment ID | O20060216000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710099304 | NPI | - | NPPES |
| 01630184 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Judith C Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104896703 PECOS PAC ID: 2062517840 Enrollment ID: I20070424000344 |
| Provider Name | Joseph T Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710950365 PECOS PAC ID: 2466467196 Enrollment ID: I20070424000541 |
| Provider Name | Alexander B Knudsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831169416 PECOS PAC ID: 6002821741 Enrollment ID: I20070523000092 |
| Provider Name | Jennifer S Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174594709 PECOS PAC ID: 1456451483 Enrollment ID: I20070705000295 |
| Provider Name | Ellen Lynne Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740382605 PECOS PAC ID: 4688858970 Enrollment ID: I20110412000062 |
| Provider Name | Nicholas S Gilfus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417311523 PECOS PAC ID: 4082998794 Enrollment ID: I20170224000568 |
Associated Gastroenterologists Of Central New York, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0190 Fax: 315-488-3284 | |
Camillus Family Health Assoc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5006 West Genesee Street, Camillus, NY 13031 Phone: 315-234-2342 Fax: 315-234-0697 |