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Organization
HORNELL MEDICAL GROUP PC
Active
Organization
HORNELL MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GRILLO (MEDICAL STAFF COORDINATOR)
(607) 324-8700
Entity
Organization
Contact information
Practice address
7630 SENECA RD N, HORNELL, NY 14843-9685
(607) 324-2353
Mailing address
7630 SENECA RD N, HORNELL, NY 14843-9685
(607) 324-2353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
116454
NY
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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