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Organization
MODENA FAMILY PRACTICE, PC
Active
Organization
MODENA FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS C MAYLE III MD (DOCTOR/OWNER)
(845) 883-5176
Entity
Organization
Contact information
Practice address
2044 ROUTE 32, SUITE 4, MODENA, NY 12548
(845) 883-5176
(845) 883-5177
Mailing address
2044 ROUTE 32, SUITE 4, MODENA, NY 12548
(845) 883-5176
(845) 883-5177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF8381
RAILROAD MEDICARE
NY
Enumeration date
12/01/2005
Last updated
02/24/2011
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