# LAKE COUNTRY FAMILY MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841433109
- **Authorized official:** DR. KERRY W GRAFF M.D. (DOCTOR)
- **Authorized official phone:** (585) 394-1875

## Contact information

- **Practice address:** 502 S MAIN ST, SUITE G, CANANDAIGUA, NY 14424-2242
- **Practice address phone:** (585) 394-1875
- **Practice address fax:** (866) 285-9069
- **Mailing address:** 502 S MAIN ST, SUITE G, CANANDAIGUA, NY 14424-2242
- **Mailing address phone:** (585) 394-1875
- **Mailing address fax:** (866) 285-9069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 207638 | NY | Yes |

## Other

- **Enumeration date:** 04/15/2009
- **Last updated:** 04/15/2009