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Organization
KEUKA HEALTH CARE ASSOCIATES, P.C.
Active
Organization
KEUKA HEALTH CARE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM P. WELBOURNE M.D. (PRESIDENT)
(315) 536-3308
Entity
Organization
Contact information
Practice address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 536-3308
(315) 536-0430
Mailing address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 536-3308
(315) 536-0430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
119889
NY
363LF0000X
Family Nurse Practitioner
Primary
F331889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0688
EXCELLUS BCBS
NY
Enumeration date
01/31/2007
Last updated
09/11/2025
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