Lakeshore Family Medicine Assoc Pc in Derby - Family Medicine

Lakeshore Family Medicine Assoc Pc - NPI 1295832418

Lakeshore Family Medicine Assoc Pc is a Family Medicine in Derby, New York. Lakeshore Family Medicine Assoc Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lakeshore Family Medicine Assoc Pc is 1295832418. The last update date is 2008-07-30.

Lakeshore Family Medicine Assoc Pc's current location address is 7060 Erie Rd, Derby, New York. You can contact this provider via phone number 7169470408 and fax number 7169470413. The mailing address for Lakeshore Family Medicine Assoc Pc is 7060 Erie Rd, Derby, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakeshore Family Medicine Assoc Pc
Address 7060 Erie Rd, Derby, New York
Phone Number 7169470408
Fax Number 7169470413
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Maclean K Craig
Credentials DO
Telephone Number 7169474851

NPI Number Detail

NPI Number 1295832418
Provider Enumeration Date 2006-09-20
Last Updated Date 2008-07-30

Provider Mailing Address Detail

Address 7060 Erie Rd
City Derby
State New York (NY)
Post Code 140479306
Phone Number 7169470408
Fax Number 7169470413

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 154802
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2288315 NY --

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FAQs about Lakeshore Family Medicine Assoc Pc

What is the Lakeshore Family Medicine Assoc Pc's 1295832418?

The Lakeshore Family Medicine Assoc Pc's NPI (National Provider Identifier) Number is 1295832418. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Lakeshore Family Medicine Assoc Pc is located?

The Lakeshore Family Medicine Assoc Pc is situated at the following address: 7060 Erie Rd, Derby, NY, 140479306.

What is Lakeshore Family Medicine Assoc Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lakeshore Family Medicine Assoc Pc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did Lakeshore Family Medicine Assoc Pc receive its 1295832418 assignment from the Centers for Medicare & Medicaid Services?

The Lakeshore Family Medicine Assoc Pc was assigned its 1295832418 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Lakeshore Family Medicine Assoc Pc most recently updated or revised?

The details related to Lakeshore Family Medicine Assoc Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-30.

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