FAMILY CARE MEDICAL GROUP PC; NPI #1205237914

Contact Information

FAMILY CARE MEDICAL GROUP PC

1304 BUCKLEY RD
SUITE 302
SYRACUSE, NY 13212-4311

Phone: 315-671-5790
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

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NPI Profile & details for FAMILY CARE MEDICAL GROUP PC

NPI # 1205237914

LBN Legal business name FAMILY CARE MEDICAL GROUP PC

Authorized official KENNY HEINE - (VP OF OPERATIONS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 09/12/2014

Last updated 09/12/2014 - About 12 years ago

Identifiers

License #

206570

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FAMILY CARE MEDICAL GROUP PC

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for FAMILY CARE MEDICAL GROUP PC

Reviews for FAMILY CARE MEDICAL GROUP PC