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Organization
LEROY FAMILY MEDICAL CARE, PLLC
Active
Organization
LEROY FAMILY MEDICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE SCHWARTZ (OFFICE MANAGER)
(585) 768-5330
Entity
Organization
Contact information
Practice address
3 TOUNTAS AVE, SUITE 1, LE ROY, NY 14482-1368
(585) 768-4400
(585) 768-7792
Mailing address
3 TOUNTAS AVE, SUITE 1, LE ROY, NY 14482-1368
(585) 768-4400
(585) 768-7792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2051631
NY
208000000X
Pediatrics Physician
2051631
NY
363LA2200X
Adult Health Nurse Practitioner
F300952
NY
363LF0000X
Family Nurse Practitioner
F3328321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010009201
UNIVERA
NY
01
—
P010000065
EXCELLUS BC BS ROHESTER
NY
Enumeration date
10/25/2006
Last updated
11/17/2010
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