# FARMINGTON FAMILY PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laurel A Dallmeyer
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528281599
- **Authorized official:** LAUREL A DALLMEYER MD (OWNER)
- **Authorized official phone:** (585) 393-3515

## Contact information

- **Practice address:** 495 N MAIN ST, CANANDAIGUA, NY 14424-1283
- **Practice address phone:** (585) 393-3515
- **Practice address fax:** (585) 393-3515
- **Mailing address:** 495 N MAIN ST, CANANDAIGUA, NY 14424-1283
- **Mailing address phone:** (585) 393-3515
- **Mailing address fax:** (585) 393-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 176102 | NY | Yes |
| 207Q00000X | Family Medicine Physician | 2394701 | NY | — |
| 207Q00000X | Family Medicine Physician | F3330031 | NY | — |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 04/13/2010