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Organization
SOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC
Active
Organization
SOUTHERN NEW YORK PRIMARY CARE SERVICES IPA, LLC
Active
Parent organization
VAXCARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAXCARE CORPORATION
Authorized official
MR. BRETT KENEFICK (PRESIDENT)
(888) 829-8550
Entity
Organization
Contact information
Practice address
1200 STATE ROUTE 208, MONROE, NY 10950-4648
(888) 829-8550
(855) 418-9149
Mailing address
800 N MAGNOLIA AVE STE 700, ORLANDO, FL 32803-3264
(888) 829-8550
(855) 418-9149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
153414
NY
Other
Enumeration date
04/03/2015
Last updated
05/21/2026
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