# FAIRGROUNDS FAMILY PHYSICIANS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174690440
- **Authorized official:** DR. PHILIP KAPLAN MD (MEMBER)
- **Authorized official phone:** (315) 682-6165

## Contact information

- **Practice address:** 115 FAIRGROUNDS DRIVE, MANLIUS, NY 13104
- **Practice address phone:** (315) 682-6165
- **Practice address fax:** (615) 682-7929
- **Mailing address:** 115 FAIRGROUNDS DRIVE, MANLIUS, NY 13104
- **Mailing address phone:** (315) 682-6165
- **Mailing address fax:** (615) 682-7929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 01/09/2025