Organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Active
Parent organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Other names
Cortland Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Authorized official
KIMBERLY OSBORNE (CEO)
(607) 753-3797
Entity
Organization
Contact information
Practice address
4038 WEST RD, CORTLAND, NY 13045-1842
(607) 758-3008
(607) 758-7032
Mailing address
85 SOUTH WEST STREET, HOMER, NY 13077-0000
(607) 753-3797
(607) 753-6677
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331881
MEDICARE PTAN
NY
Enumeration date
07/30/2009
Last updated
01/10/2022
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