Organization
FAYETTEVILLE FAMILY PHYSICIAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HDAYATU SALAWU M.D. (PHYSICIAN)
(315) 214-3999
Entity
Organization
Contact information
Practice address
6834 E GENESEE ST, FAYETTEVILLE, NY 13066-1021
(315) 214-3999
(347) 772-3132
Mailing address
6834 EAST GENESEE STREET, FAYETTEVILLE, NY 13066
(315) 214-3999
(347) 772-3132
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2462581
NY
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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