Organization
ARCADIA FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HANNAN (PRESIDENT)
(315) 926-7733
Entity
Organization
Contact information
Practice address
3669 COUNTRYSIDE LN, MARION, NY 14505-9781
(315) 926-7733
Mailing address
PO BOX 110, MARION, NY 14505-0110
(315) 926-7733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
156845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01389073
—
NY
Enumeration date
12/11/2006
Last updated
07/02/2010
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