Organization
FINGER LAKES MIGRANT HEALTH CARE PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO GARCIA (BILLING CLERK)
(315) 531-9102
Entity
Organization
Contact information
Practice address
601 B WEST WASHINGTON ST, GENEVA, NY 14456
(315) 531-9102
(315) 531-9103
Mailing address
PO BOX 423, PENN YAN, NY 14527-0423
(315) 531-9102
(315) 531-9103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
36750
NY
122300000X
Dentist
Primary
42164
NY
122300000X
Dentist
42795
NY
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
Update your record
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