Organization
CHURCHVILLE-CHILI FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY MIKOLAJ PASZKO MD (MEDICAL DIRECTOR)
(585) 594-5994
Entity
Organization
Contact information
Practice address
4201 BUFFALO RD, BOX 505, NORTH CHILI, NY 14514-1256
(585) 594-5995
(585) 594-5425
Mailing address
PO BOX 505, N. CHILI, NY 14514
(585) 594-5995
(585) 594-5425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
174814
NY
261Q00000X
Clinic/Center
174814
NY
Other
Enumeration date
08/23/2007
Last updated
11/04/2014
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