| Southern New York Primary Care Services Ipa, Llc | |
|
1200 State Route 208 Monroe NY 10950-4648 | |
| (888) 829-8550 | |
| (855) 418-9149 |
| Full Name | Southern New York Primary Care Services Ipa, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 State Route 208, Monroe, New York |
| Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern New York Primary Care Services Ipa, Llc 3113 Lawton Road Suite 250 Orlando FL 32803 Ph: (888) 829-8550 | Southern New York Primary Care Services Ipa, Llc 1200 State Route 208 Monroe NY 10950-4648 Ph: (888) 829-8550 |
| NPI Number | 1013302355 |
|---|---|
| Provider Enumeration Date | 04/03/2015 |
| Last Update Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013302355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 153414 (New York) | Primary |
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