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Organization
PREVENTIVE MEDICINE ASSOCIATES LLC
Active
Organization
PREVENTIVE MEDICINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH T BARRY MD (PARTNER)
(315) 487-8109
Entity
Organization
Contact information
Practice address
5415 W GENESEE ST, SUITE 301, CAMILLUS, NY 13031-2162
(315) 487-8109
(315) 487-5680
Mailing address
5415 W GENESEE ST, SUITE 301, CAMILLUS, NY 13031-2162
(315) 487-8109
(315) 487-5680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01630184
—
NY
Enumeration date
08/31/2006
Last updated
02/08/2012
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