# GREENFIELD COUNTRY MEDICINE

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

## Provider details

- **NPI number:** 1962445205
- **Authorized official:** DR. JAMA LORYNN PEACOCK BIRSETT M.D. (M.D./OWNER)
- **Authorized official phone:** (518) 258-0615

## Contact information

- **Practice address:** 3100 ROUTE 9N, GREENFIELD CENTER, NY 12833-1711
- **Practice address phone:** (518) 268-0615
- **Practice address fax:** (518) 348-1279
- **Mailing address:** 3100 ROUTE 9N, P.O.BOX 159, GREENFIELD CENTER, NY 12833-1711
- **Mailing address phone:** (518) 268-0615
- **Mailing address fax:** (518) 348-1279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 239931 | NY | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 03/07/2023