Trinity Family Medicine | |
2523 State Route 31 Weedsport NY 13166-3202 | |
(315) 834-6541 | |
(315) 834-6919 |
Full Name | Trinity Family Medicine |
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Speciality | Family Medicine |
Location | 2523 State Route 31, Weedsport, New York |
Authorized Official Name and Position | Sean P Boyle (PHYSICIAN) |
Authorized Official Contact | 3158346541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trinity Family Medicine 2523 State Route 31 P O Box 1095 Weedsport NY 13166-3202 Ph: (315) 834-6541 | Trinity Family Medicine 2523 State Route 31 Weedsport NY 13166-3202 Ph: (315) 834-6541 |
NPI Number | 1922150846 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922150846 | NPI | - | NPPES |
01523133 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 194822 (New York) | Primary |