| Professional Corporation | |
|
1033 Pittsford-palmyra Rd Macedon NY 14502-8218 | |
| (315) 986-2100 | |
| (315) 986-2100 |
| Full Name | Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1033 Pittsford-palmyra Rd, Macedon, New York |
| Authorized Official Name and Position | Lekhraj B Kachoria (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 3159862100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Corporation 1033 Pittsford-palmyra Rd Macedon NY 14502-8218 Ph: (315) 986-2100 | Professional Corporation 1033 Pittsford-palmyra Rd Macedon NY 14502-8218 Ph: (315) 986-2100 |
| NPI Number | 1982924403 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 03/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982924403 | NPI | - | NPPES |
| 00449587 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125110 (New York) | Primary |
Gananda Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Fairway 7, Macedon, NY 14502 Phone: 315-986-4410 Fax: 315-986-4888 | |
Gananda Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Fairway 7, Macedon, NY 14502 Phone: 585-922-4410 Fax: 315-986-4888 |