# FINGER LAKES MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Finger Lakes Medical Associates, LLP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730254459
- **Authorized official:** MARK RYAN M.D. (MANAGING PARTNER)
- **Authorized official phone:** (315) 787-5199

## Contact information

- **Practice address:** 200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
- **Practice address phone:** (315) 787-5100
- **Practice address fax:** (315) 787-5108
- **Mailing address:** 200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
- **Mailing address phone:** (315) 787-5100
- **Mailing address fax:** (315) 787-5108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 02/26/2015